Shephali Patel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036091776 Issued in IL

Practice address

4755 N Kenmore Ave
Chicago, IL 60640-5015

Phone

(773) 989-9868

Fax

(773) 989-9824

NPI assigned

Oct 16, 2006

Last updated

Apr 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wise Health Professional CorporationGroup PAC ID 4789743436, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Humboldt Park Health Hospital, Chicago, IL, CCN 140206
• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180

Merit-based Incentive Payment System (MIPS)

Final score

21.46 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.54

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shpatel@direct-address.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wise Health Professional Corporation

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1891969903
  Medicare reassignment Care Compare group Authorized official
• Wise Health Professional Corporation

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1417100157
  NPD Authorized official
• Humboldt Park Health

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740417153
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1063592095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WYNNCREST DR",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475033",
            "telephone_number": "773-989-9868",
            "fax_number": "773-989-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405015",
            "telephone_number": "773-989-9868",
            "fax_number": "773-989-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHEPHALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036091776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091776",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shama Patel, NP
• Shana S Patel, RN
• Sheetal R Patel, M.D.
• Shefali Patel, PHARM. D.
• Shefalie Patel, M.A. CCC-SLP
• Shika Patel, M.D.
• Shilpan Patel, DO
• Shiragi Patel, MD
• Shirin Patel, MD
• Shiv Patel

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.

Verify at the official NPI Registry.