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PRADIP DIWAKAR PATEL M.D.
NPI 1215912993
Specialist in Terre Haute, IN

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
3666 S 4TH ST, TERRE HAUTE, IN 47802(812) 238-8880(812) 478-5384 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pradip Diwakar Patel M.d. NPPES

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

PRADIP DIWAKAR PATEL M.D. (NPI 1215912993) is an individual specialist in Terre Haute, Indiana, licensed in Indiana (01042706) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1215912993
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePRADIP DIWAKAR PATELCredential: M.D.
Location Address3666 S 4TH STTerre Haute, IN 47802-5543
Mailing Address3666 S 4th StTerre Haute, IN 47802-5543 · (812) 238-8880 · Fax (812) 478-5384
Phone(812) 238-8880
Fax(812) 478-5384
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1215912993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01042706
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3666 S 4TH ST, Terre Haute, IN 47802
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Other Identifiers 3

Medicare UPINF52516IN
Medicaid100473110IN
Medicare ID-Type Unspecified608910IN · Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Pradip Diwakar Patel M.d. 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 ID1850428186
PECOS Enrollment IDI20100419000556
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
629 services144 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
302 services109 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services23 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
57 services53 patients
3d radiographic procedure 76376
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
56 services52 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims40 services$6.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers41 claims46 services$4.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims29 services$99.71 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers24 claims3,343 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers27 claims2,220 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers46 claims46 services$23.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pradip Patel's NPI number?

The NPI number for Pradip Patel is 1215912993. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Pradip Patel located?

Pradip Patel practices at 3666 S 4th St, Terre Haute, IN 47802. The listed phone number is (812) 238-8880.

What is Pradip Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pradip Patel enrolled in Medicare?

Yes. Pradip Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pradip Patel accept?

Health plans from CareSource list Pradip Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pradip Patel affiliated with any hospitals?

According to CMS data, Pradip Patel is affiliated with Northwestern Medicine Central Dupage Hospital, Union Hospital Inc, Greene County General Hospital and Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Pradip Patel was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.