SHIVARAJ PRAKASH PATIL (MBBS) – Clinical Cardiac Electrophysiology Physician, NPI 1023506722
Clinical Cardiac Electrophysiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
69 CARDIAC ELECTROPHYSIOLOGY in CT
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Provider Addresses for SHIVARAJ PRAKASH PATIL (MBBS)
University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States
FARMINGTON, CT 060301921
Phone: (860) 679-2147
Fax: (860) 679-4624
Type: Mailing
263 Farmington Ave
Farmington, CT 060300001
Phone: (860) 679-2147
Fax: (860) 679-4624
Type: Location
5501 Old York Rd
Philadelphia, PA 191413018
Phone: (215) 456-7020
Type: Location
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 191413098
Phone: (215) 456-7020
Type: Mailing
5501 OLD YORK RD
PHILADELPHIA, PA 191413018
Phone: (215) 456-7020
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $2,526.
Total Amount is formed as General ($2,526) + Research ($0) + Ownership ($0) = $2,526.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: BIOTRONIK INC. ($1,247).
Total Amount
$2,526
General + Research + Ownership
Payments
46
Total payment records
General Amount
$2,526
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240711003433 | I | Cardiac Electrophysiology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Psychiatry, Addiction Medicine | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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