SHIVARAJ PRAKASH PATIL MBBS
NPI 1023506722
Internal Medicine - Clinical Cardiac Electrophysiology in Rochester, MN

Q: What is Shivaraj Patil's NPI number?

The NPI number for Shivaraj Patil is 1023506722. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Q: What is Shivaraj Patil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Shivaraj Patil was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jul 12, 2021, Jul 18, 2018 and 1 more (4 updates tracked since 2018).

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About Shivaraj Prakash Patil Mbbs NPPES

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

SHIVARAJ PRAKASH PATIL MBBS (NPI 1023506722) is an individual clinical cardiac electrophysiology provider in Rochester, Minnesota, licensed in Minnesota (76918) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023506722

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameSHIVARAJ PRAKASH PATILCredential: MBBS

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 27, 2018

Last NPPES UpdateOctober 21, 20244 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1023506722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in MN · 76918

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MT224194 (PA)

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Locations 2

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-2147 · Fax (860) 679-4624

Location 25501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-7020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivaraj Prakash Patil Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173871662

PECOS Enrollment IDI20240711003433

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EMILY LEASURE MD

Internal Medicine