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

Individual provider Cardiovascular Disease Physician · NPI 1629326509

Shantanu Patil, MD is a Cardiovascular Disease (Cardiology) in Omaha, Nebraska. Qualified in 2011, 15 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
15
Licensed in
IA, NE
In the registry since
2012
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

7710 Mercy Rd Ste 202
Omaha, NE 68124-2353
Phone: (402) 280-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 34623 (NE)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD50036 (IA)

Record details

NPI number1629326509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 26, 2012
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address7710 Mercy Rd Ste 202, Omaha, NE 68124-2353

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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