Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHASHANK NAGARAJ PATIL MD
NPI 1003565375
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since March 22, 2022PECOS Enrolled
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY, FARMINGTON, CT 06030(860) 679-4617 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shashank Nagaraj Patil Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHASHANK NAGARAJ PATIL MD (NPI 1003565375) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003565375
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHASHANK NAGARAJ PATILCredential: MD
Location Address263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERYFarmington, CT 06030-8232
Mailing Address263 Farmington AveFarmington, CT 06030-8232 · (860) 679-4617
Sole ProprietorYes
Enumeration DateMarch 22, 2022
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1003565375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
263 FARMINGTON AVENUE, Farmington, CT 06030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shashank Nagaraj Patil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVENUE
FARMINGTON, CT 06030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shashank Patil's NPI number?

The NPI number for Shashank Patil is 1003565375. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Shashank Patil located?

Shashank Patil practices at 263 Farmington Avenue Uconn Health, Department Of Surgery, Farmington, CT 06030. The listed phone number is (860) 679-4617.

What is Shashank Patil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shashank Patil enrolled in Medicare?

Yes. Shashank Patil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shashank Patil was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.