Shruti Pravinkumar Patel, M.D.
Internal Medicine, Gastroenterology in Sacramento, CA. Individual provider (NPI-1).
NPI number1376937656
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1376937656
- Entity type
- Individual (NPI-1)
- Name
- Shruti Pravinkumar Patel
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2015
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- 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 |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | A146173 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4150 V St # 1110Sacramento, CA 95817-1460
Phone 916-734-2737
Mailing address
11823 Galvani StLas Vegas, NV 89183-5530
Other practice locations
500 Doyle Park Dr Ste 205
Santa Rosa, CA 95405-4559
Santa Rosa, CA 95405-4559
Phone 707-303-8350
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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