Mahindra D Patel


Address: 410 E University Ave, Suite 102, Champaign, IL 61820-3872

Mahindra D Patel (NPI# 1841263258, PAC ID# 2062492838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1841263258
PAC ID by PECOS 2062492838
Professional Enrollment ID I20040722000437
Full Name Mahindra D Patel
Address 410 E University Ave
Suite 102
Champaign
IL 61820-3872
Gender M
Credential MD
Graduation Year 1975
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140113 PRESENCE COVENANT MEDICAL CENTER- URBANA

Other Locations

Address Phone Organization
410 E University Ave, Suite 102, Champaign, IL 61820-3872
210 N Main St, Homer, IL 61849-1027

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_438_overall Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 92%

Organization Information

Office Location

Street Address 410 E UNIVERSITY AVE
SUITE 102
City CHAMPAIGN
State IL
Zip 61820-3872

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Melonie M Darnall Nurse Practitioner Promise Healthcare Nfp 819 Bloomington Rd, Champaign, IL 61820-2101
Shellane Tangen Nurse Practitioner Promise Healthcare Nfp 819 Bloomington Rd, Champaign, IL 61820-2101
Constance S Thomas Nurse Practitioner Promise Healthcare Nfp 819 Bloomington Rd, Champaign, IL 61820-2101
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Competitor

Search similar physicians

City CHAMPAIGN
Zip Code 61820
Specialty INTERNAL MEDICINE
City + Specialty CHAMPAIGN + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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