Active NPI
Shetal Patel, MD
- Hospitalist Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036105042
- Practice address
- 2400 N Rockton Ave
Rockford, IL 61103-3619 - Phone
- (815) 971-5000
- Fax
- (630) 527-5526
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036105042 | IL | Primary |
| Hospitalist Physician | 208M00000X | 01069061A | IN |
Addresses
Primary practice location
2400 N Rockton Ave
Rockford, IL 61103-3619
Mailing address
2400 N Rockton Ave.
Rockford, IL 61103-3619
Phone (815) 971-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105042 | Medicaid | IL | |
| BCBS | Other | IL | 2220936 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1606 N 7TH St
Vituity
Terre Haute, IN 47804-2706
Phone (812) 238-7000
Hospital & facility affiliations
- Community Hospital
- St Catherine Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069061A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| KND Development 59 LLC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Hospitalist | Current | Accepting new patients |
| KND Development 59, LLC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Macoupin Physician Services, PC | Hospitalist | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| KND Development 59, LLC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
29373 Network Pl
Chicago, IL 60673
6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Hospitalist Physician
- Chicago, IL
- NPI 1992034599
-
- Hospitalist Physician
- Carlinville, IL
- NPI 1013686302
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Hospitalist Physician
- Chicago, IL
- NPI 1205165396
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Munster, IN
- NPI 1275252090
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1013938513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N ROCKTON AVE.",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033619",
"telephone_number": "815-971-5000",
"fax_number": "630-527-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033619",
"telephone_number": "815-971-5000",
"fax_number": "630-527-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHETAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036105042",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01069061A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105042",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2220936",
"identifier": "BCBS",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.