Dr Goutham Shankargoud Patil, MD - Medicare Internal Medicine in Pontiac, MI

Dr Goutham Shankargoud Patil, MD is a medicare enrolled "Internal Medicine" physician in Pontiac, Michigan. His current practice location is 44405 Woodward Ave # H-23, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (646) 633-3789.

Dr Goutham Shankargoud Patil is licensed to practice in Michigan (license number 4351048155) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124698519.

Contact Information

Dr Goutham Shankargoud Patil, MD
44405 Woodward Ave # H-23,
Pontiac, MI 48341-5023
(646) 633-3789
Not Available



Physician's Profile

Full NameDr Goutham Shankargoud Patil
GenderMale
SpecialityInternal Medicine
Location44405 Woodward Ave # H-23, Pontiac, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124698519
  • Provider Enumeration Date: 06/28/2021
  • Last Update Date: 07/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052715232
  • Enrollment ID: I20210810003039

Medical Identifiers

Medical identifiers for Dr Goutham Shankargoud Patil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124698519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5315225359 (Michigan)Secondary
207R00000XInternal Medicine 4351048155 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Goutham Shankargoud Patil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Goutham Shankargoud Patil, MD
44405 Woodward Ave # H-23,
Pontiac, MI 48341-5023

Ph: (646) 633-3789
Dr Goutham Shankargoud Patil, MD
44405 Woodward Ave # H-23,
Pontiac, MI 48341-5023

Ph: (646) 633-3789

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› Verified 6 days ago


Internal Medicine Doctors in Pontiac, MI

Essa Hanna Hattar, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5392    
Judie R. Goodman, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341
Phone: 248-858-2270    Fax: 248-335-6171
Dr. Kalyana S Ramamurthi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44200 Woodward Ave, Suie 209, Pontiac, MI 48341
Phone: 248-253-0330    Fax: 248-253-1982
Dr. Ravinder Kamal Singala, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-858-3000    
Humberto Diaz Del Castillo Guzman, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341
Phone: 947-500-7744    
Dr. Fahd Al-saghir, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44200 Woodward Ave, Suite 209, Pontiac, MI 48341
Phone: 248-253-0330    Fax: 248-253-1982
Dr. Matthew Lee Edwards, D.O,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5000    

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