Individual provider Active NPI

Shwetal B Patel, DPM

  • Podiatrist
  • Quincy, IL
National Provider Identifier
1124053400
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005122 Issued in IL
Practice address
1118 Hampshire St
Quincy, IL 62301-3027
Phone
(217) 222-6550
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005122 IL Primary

Addresses

Primary practice location

1118 Hampshire St
Quincy, IL 62301-3027

Mailing address

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070209000598 IL Practitioner - Podiatry 0749282390 Reassigns benefits to 1 organization
I20200828001923 IA Practitioner - Podiatry 0749282390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quincy Physicians and Surgeons Clinic, PLLCGroup PAC ID 0749192375, 231 clinicians

Practice addresses (Care Compare)

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

1603 Morgan St
Suite 3
Keokuk, IA 52632-3433
Phone (319) 524-4300

216 Pittsfield Rd
Mt Sterling, IL 62353-1626
Phone (217) 773-3963

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of nail tissue512
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Feb 5, 2007 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Feb 5, 2007 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Sep 1, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Reed Foot Clinic Podiatrist Past Accepting new patients
Quincy Family Foot Care, PC Podiatrist PastSince Jan 14, 2003 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients

Locations

1603 Morgan St
Ste 3
Keokuk, IA 52632
Phone (319) 524-3796

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

1118 Hampshire St
Quincy, IL 62301

Interoperability endpoints

  • Direct secure messaging: spatel198162@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1124053400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 HAMPSHIRE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013027",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHWETAL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.