| Divyesh Purohit, MD | |
|
557 W Broadway, Shelburn, IN 47879 | |
| (812) 234-6053 | |
| (812) 478-3416 |
| Full Name | Divyesh Purohit |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 557 W Broadway, Shelburn, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326028309 | NPI | - | NPPES |
| 000000205869 | Other | BLUE COSS PROVIDER # | |
| 200111590 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01045492A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01045492A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Bloomington, IN | Home health agency |
| Good Samaritan Home Care Services Of Vincennes In | Vincennes, IN | Home health agency |
| Home Health Care Solutions Llc | Avon, IN | Home health agency |
| Kindred Hospice | Terre haute, IN | Hospice |
| Sullivan County Community Hospital | Sullivan, IN | Hospital |
| Greene County General Hospital | Linton, IN | Hospital |
| Terre Haute Regional Hospital | Terre haute, IN | Hospital |
| Union Hospital Inc | Terre haute, IN | Hospital |
| Breckenridge Health & Rehabilitation | Sullivan, IN | Nursing home |
| Entity Name | Terre Haute Pulmonary & Pediatric Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326152984 PECOS PAC ID: 2062493752 Enrollment ID: O20040527001234 |
| Entity Name | Sullivan County Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871058529 PECOS PAC ID: 6305185398 Enrollment ID: O20190311000196 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Divyesh Purohit, MD 3991 Golf Bag Ln, Terre Haute, IN 47802-8145 Ph: (812) 299-3261 | Divyesh Purohit, MD 557 W Broadway, Shelburn, IN 47879 Ph: (812) 234-6053 |