| Department File Number : | M201574394 |
| Claim Number : | 174842 |
| Date Submitted : | 5/4/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 38-2317569 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Tracy | M | Harris | ||
| Street Address | |||||
| 100 Brookwood Place | |||||
| City | State | Zip | |||
| Birmingham | AL | 35209 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (205) 439 - 7932 | tharris@proassurance.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Shakti | Narain | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1070 Flagler Avenue | ||||
| City | State | Zip Code | County | ||
| Leesburg | FL | 34748 | Lake | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP36075 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME56590 | Pulmonary Diseases - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Sumter | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| VILLAGES REGIONAL HOSPITAL, THE | 23960032 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/2/2011 | 12/1/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Alleged failure to provide pulmonary/critical care treatment, resulting in death. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Alleged failure to provide pulmonary/critical care treatment, resulting in death. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure to provide pulmonary/critical care treatment, resulting in death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/12/2012 | 2012-CA-001006 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Lake | 4/14/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| The Villages Regional Medical Center | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 4/27/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $40,249 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $6,930 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Insured discussed case with defense counsel, insurance personnel, and medical experts. | |||||||||||||||||||||
| Updates | ||||||||||||||||
| Date of Change: | 8/5/2015 1:51:57 PM | |||||||||||||||
| Reason for Change: | updated indemnity and ALAE | |||||||||||||||
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| Date of Change: | 5/4/2016 4:53:45 PM | |||||||||||||||
| Reason for Change: | Updated non economic loss information. | |||||||||||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. SHAKTI NARAIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SHAKTI NARAIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).