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PRABHUDEV PATIL
NPI 1609571306
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Active since April 03, 2023PECOS Enrolled
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-5480(844) 458-7916 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prabhudev Patil NPPES

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

PRABHUDEV PATIL (NPI 1609571306) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609571306
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePRABHUDEV PATIL
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 233-5480 · Fax (844) 458-7916
Phone(618) 233-5480
Fax(844) 458-7916
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
✔ NPI 1609571306 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.
3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269
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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)

Prabhudev Patil 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.

MARA GRACE DOWNING MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. NOAH M COOPERSTEIN MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-7311
DR. PATRICK BLOECHER MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-7880
BENJAMIN F WOOD MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
SALSAPELA HIYTHAM SHABAN MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
MARIA OCHIAI
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355
LUKE BRECHNER
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355
ALEX BRANDON BELONGY
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-9355

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 Prabhudev Patil's NPI number?

The NPI number for Prabhudev Patil is 1609571306. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Prabhudev Patil located?

Prabhudev Patil practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (618) 233-5480.

What is Prabhudev 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 Prabhudev Patil enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Prabhudev Patil was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.