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SANJANA BASAVANAGOWDA PATIL
NPI 1871380642
Student in an Organized Health Care Education/Training Program in Bowling Green, KY

Active since April 23, 2025PECOS Enrolled
250 PARK STREET, THE MEDICAL CENTER AT BOWLING GREEN, BOWLING GREEN, KY 42101(270) 780-2680(270) 780-2691 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sanjana Basavanagowda Patil NPPES

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

SANJANA BASAVANAGOWDA PATIL (NPI 1871380642) is an individual student in an organized health care education/training program in Bowling Green, Kentucky and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871380642
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANJANA BASAVANAGOWDA PATIL
Location Address250 PARK STREET, THE MEDICAL CENTER AT BOWLING GREENBowling Green, KY 42101
Mailing Address250 Park Street, The Medical Center At Bowling GreenBowling Green, KY 42101 · (270) 780-2680 · Fax (270) 780-2691
Phone(270) 780-2680
Fax(270) 780-2691
Sole ProprietorNo
Enumeration DateApril 23, 2025
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1871380642 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.
250 PARK STREET, Bowling Green, KY 42101
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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)

Sanjana Basavanagowda 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 4

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

MRS. KATHERINE JO CALVERT PA-C
Physician Assistant
250 PARK STREET
BOWLING, KY 42101
Warren County (270) 745-1626
WALKER T. EDWARDS D.O.
Internal Medicine
250 PARK STREET
BOWLING GREEN, KY 42101
Warren County (270) 796-6540
SPRINGFIELD RADIOLOGY ASSOCIATES, PC
Radiology (Diagnostic Radiology)
250 PARK STREET
BOWLING GREEN, KY 42101
Warren County (270) 796-6500
SHANNA D. KOZAK APRN
Nurse Practitioner
250 PARK STREET
BOWLING GREEN, KY 42101
Warren County (270) 796-6540

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 Sanjana Basavanagowda Patil's NPI number?

The NPI number for Sanjana Basavanagowda Patil is 1871380642. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Sanjana Basavanagowda Patil located?

Sanjana Basavanagowda Patil practices at 250 Park Street The Medical Center At Bowling Green, Bowling Green, KY 42101. The listed phone number is (270) 780-2680.

What is Sanjana Basavanagowda 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 Sanjana Basavanagowda Patil enrolled in Medicare?

Yes. Sanjana Basavanagowda Patil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjana Basavanagowda Patil was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.