Dr. Shruti Jagannath Patil, M.D.
Anesthesiology in Springfield, IL. Individual provider (NPI-1).
NPI number1326487232
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1326487232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shruti Jagannath Patil
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2013
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036146897 | IL | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | 036146897 | IL | |
| 207R00000X | Internal Medicine | 125063259 | IL |
Practice location
701 N 1st StSpringfield, IL 62702-3757
Phone 217-545-0182 · Fax 217-545-4735
Mailing address
Po Box 19636Springfield, IL 62794-9636
Phone 217-545-0182 · Fax 217-545-4735
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