Smita V Patel
MICHIANA PRIMARY CARE LLC


Address: 615 Fulmer Rd, Mishawaka, IN 46544-6911
Phone: 5742523085

Smita V Patel (NPI# 1518180512, PAC ID# 9638260649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1518180512
PAC ID by PECOS 9638260649
Professional Enrollment ID I20070806000528
Full Name Smita V Patel
Organization Legal Name MICHIANA PRIMARY CARE LLC
Address 615 Fulmer Rd
Mishawaka
IN 46544-6911
Phone Number 5742523085
Gender F
Graduation Year 2002
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 8820114952
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150012 SAINT JOSEPH REGIONAL MEDICAL CENTER
150058 MEMORIAL HOSPITAL OF SOUTH BEND
150177 UNITY MEDICAL AND SURGICAL HOSPITAL
150018 ELKHART GENERAL HOSPITAL

Other Locations

Address Phone Organization
615 Fulmer Rd, Mishawaka, IN 46544-6911 5742523085 MICHIANA PRIMARY CARE LLC

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
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name MICHIANA PRIMARY CARE LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Linda S Holcomb Nurse Practitioner Michiana Primary Care LLC 615 Fulmer Rd, Mishawaka, IN 46544-6911
Jack S Bartoszek Family Practice Michiana Primary Care LLC 615 Fulmer Rd, Mishawaka, IN 46544-6911

Office Location

Street Address 615 FULMER RD
City MISHAWAKA
State IN
Zip 46544-6911

Physicians in the same location

Name Specialty Organization Address
Linda S Holcomb Nurse Practitioner Michiana Primary Care LLC 615 Fulmer Rd, Mishawaka, IN 46544-6911
Jeffrey Borders General Surgery 615 Fulmer Rd, Mishawaka, IN 46544-6911
Jack S Bartoszek Family Practice Michiana Primary Care LLC 615 Fulmer Rd, Mishawaka, IN 46544-6911

Physicians in the same zip code

Name Specialty Organization Address
Robert F Guthrie Family Practice Img Associates LLC 4215 Edison Lakes Pkwy, Suite 300, Mishawaka, IN 46544-1427
Laura L Helman Family Medicine 1207 Lincolnway W, Mishawaka Osteopathic Clinic, Mishawaka, IN 46544-1709
Glenn Scott Wheet Family Medicine 900 Lincolnway W, Mishawaka, IN 46544-1716
Bryan C Glenn Chiropractic 535 Lincolnway W, Mishawaka, IN 46544-1800
Jana Schenkel Certified Nurse Midwife (cnm) Healthlinc Inc 420 W 4th St, Mishawaka, IN 46544-1948
Rebecca Ann Bauer Family Medicine Healthlinc Inc 420 W 4th St, Mishawaka, IN 46544-1948
Katherine A Lisoni Family Medicine Healthlinc Inc 420 W 4th St, Mishawaka, IN 46544-1948
Kathleen A Long Nurse Practitioner Healthlinc Inc 420 W 4th St, Mishawaka, IN 46544-1948
Erica Garrett Certified Nurse Midwife (cnm) Healthlinc Inc 420 W 4th St, Mishawaka, IN 46544-1948
Michelle Streb Nurse Practitioner Healthlinc Inc 420 W 4th St, Mishawaka, IN 46544-1948
Find all physicians in zip 46544

Competitor

Search similar physicians

City MISHAWAKA
Zip Code 46544
Specialty FAMILY MEDICINE
City + Specialty MISHAWAKA + FAMILY 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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