SAMIR B PATEL MD NPI 1003801291

NPI Information

  • NPI: 1003801291
  • Provider Name: SAMIR B PATEL, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 W EDISON RD
    SUITE 110
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (574) 258-1100

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NPI Details

Samir B Patel, MD is a diagnostic radiology radiology in Mishawaka, IN with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Samir B Patel, MD NPI is 1003801291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

620 W EDISON RD
SUITE 110
MISHAWAKA, IN
ZIP 46545-784
Phone: (574) 258-1100
Fax: (574) 258-1101

The NPI 1003801291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of both breasts (HCPCS:77049)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of upper spine without contrast (HCPCS:72125)

The enumeration date for this NPI number is 9/14/2005 and was last updated on 5/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody Imaging01046230INDIANANo
22085N0700XRadiologyNeuroradiology01046230INDIANANo
32085N0904XRadiologyNuclear Radiology01046230INDIANANo
42085P0229XRadiologyPediatric Radiology01046230INDIANANo
52085R0203XRadiologyTherapeutic Radiology01046230INDIANANo
62085R0204XRadiologyVascular & Interventional Radiology01046230INDIANANo
72085U0001XRadiologyDiagnostic Ultrasound01046230INDIANANo
82085R0202XRadiologyDiagnostic Radiology01046230INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1728230PPMEDICARE PIN
2200280180MEDICAIDINDIANA
3H20860MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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