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DR. SHRUTI PATIL MD, MPH
NPI 1275336984
Student in an Organized Health Care Education/Training Program in Green Bay, WI

Active since March 28, 2025PECOS Enrolled
3021 VOYAGER DR, GREEN BAY, WI 54311(920) 431-1810 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Dr. Shruti Patil Md, Mph NPPES

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

DR. SHRUTI PATIL MD, MPH (NPI 1275336984) is an individual student in an organized health care education/training program in Green Bay, Wisconsin and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275336984
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHRUTI PATILCredential: MD, MPH
Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 431-1810
Phone(920) 431-1810
Sole ProprietorNo
Enumeration DateMarch 28, 2025
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1275336984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
3021 VOYAGER DR, Green Bay, WI 54311
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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. Shruti Patil Md, Mph 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.

DR. SARA CHEEMA MD
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 431-1810
JILL SCHUSTER-SYED DO
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
PREVEA HEALTH
Durable Medical Equipment & Medical Supplies
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
TRENT J AUGUSTON MD
Family Medicine
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
COURTNEY WAGNER SOUHEAVER DPT
Physical Therapist
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
MS. BECKYSUE WOLF APNP
Nurse Practitioner
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
DR. FATIMA QAMAR MD, MPH
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 431-1810
DR. ELIZABETH ABEGGLEN MD
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 431-1810

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 Shruti Patil's NPI number?

The NPI number for Shruti Patil is 1275336984. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Shruti Patil located?

Shruti Patil practices at 3021 Voyager Dr, Green Bay, WI 54311. The listed phone number is (920) 431-1810.

What is Shruti 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 Shruti Patil enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shruti Patil was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.