Individual provider Active NPI

Bharat K Patel, SC

  • Internal Medicine Physician
  • Metropolis, IL
National Provider Identifier
1992735526
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036055925 Issued in IL
Practice address
12 Hospital Dr
Metropolis, IL 62960
Phone
(618) 524-2182
Fax
(618) 524-2451
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036055925 IL Primary

Addresses

Primary practice location

12 Hospital Dr
Metropolis, IL 62960

Mailing address

PO Box 191
Metropolis, IL 62960
Phone (618) 524-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000026 IL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547151417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Massac Memorial Hospital Current Accepting new patients
Massac Memorial Hospital CurrentSince Nov 1, 2017 Accepting new patients
Massac Memorial Hospital CurrentSince Nov 1, 2017 Accepting new patients
Southern Illinois Pain Management PastSince Mar 7, 2005 Accepting new patients

Locations

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Massac Memorial HospitalMetropolis, IL, CCN 141323 Hospital Corporate Director Jan 1, 2024
Massac Memorial HospitalMetropolis, IL, CCN 14Z323 Hospital Corporate Director Jan 1, 2024
Massac Memorial Medical ClinicMetropolis, IL, CCN 143478 Rural health clinic Corporate Director Jan 1, 2024
Massac Memorial Medical Clinic IIMetropolis, IL, CCN 148598 Rural health clinic Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1992735526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "62960",
            "telephone_number": "618-524-2182",
            "fax_number": "618-524-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "62960",
            "telephone_number": "618-524-2182",
            "fax_number": "618-524-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHARAT",
        "middle_name": "K",
        "credential": "SC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036055925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metropolis, IL

Sources for this page

Verify at the official NPI Registry.