Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shivajirao Prakash Patil, MD

Individual provider Family Medicine Physician · NPI 1023339173

Dr. Shivajirao Prakash Patil, MD is a Family Practice in Greenville, North Carolina. Qualified in 2004, 22 years ago. Practices with East Carolina University, a 498-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Heart Dr
Greenville, NC 27834-8982
Phone: (252) 744-4611
Fax: (252) 744-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2013-02228 (NC)
Diabetology (Family Medicine) Physician Taxonomy 207QD0401X · Licence 2013-02228 (NC)

Record details

NPI number1023339173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2010
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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