Active NPI
Jeetendra B Patel, M.D.
- Interventional Cardiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036173952
- Practice address
- 619 E Mason St Ste 4P57
Springfield, IL 62701-1034 - Phone
- (217) 788-0706
- Fax
- (217) 525-2535
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036173952 | IL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 61845 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 61845 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 0101281934 | VA | |
| Interventional Cardiology Physician | 207RI0011X | 0101281934 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | 036173952 | IL |
Addresses
Primary practice location
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Mailing address
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
Other practice location 1
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-6674
Other practice location 2
1410 Tusculum Blvd Ste 1200
Greeneville, TN 37745-5815
Phone (423) 638-2270
Other practice location 3
115 Judge Gresham Rd Ste A
Gray, TN 37615-6213
Phone (423) 467-3000
Other practice location 4
650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-5463
Other practice location 5
2428 Knob Creek Rd Ste 201
Johnson City, TN 37604-2396
Phone (423) 262-4400
Other practice location 6
301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Phone (757) 252-9365
Other practice location 7
329 N State Of Franklin Rd
Johnson City, TN 37604-6062
Phone (423) 979-4100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200951260 | Medicaid | IN | |
| 5816058-1205 | Other | UT | UTAH MEDICAL LICENSE NO. |
| Q060983 | Medicaid | TN | |
| 000000662912 | Other | IN | ANTHEM PROVIDER NUMBER |
Other names 1
- Dr. Jeetendra Bhagubhai Patel
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpatel473190@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, VA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Hillsboro Area Hospital, Inc.
Practice addresses (Care Compare)
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111
619 E Mason St
4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
800 E Carpenter St
Springfield, IL 62769-0002
Phone 217544646444399
800 School St
Carrollton, IL 62016-1436
Phone (217) 942-6946
Hospital & facility affiliations
- St Johns Hospital
- St Anthonys Memorial Hospital
- St Francis Hospital
- St Marys Hospital
- Jacksonville Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036173952 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| Phoebe Dorminy Surgical Associates | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Sentara Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
800 School St
Carrollton, IL 62016
Phone (217) 942-3600
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
1745 W Walnut St
Jacksonville, IL 62650
Phone (217) 243-6454
101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
619 E Mason St
Ste 4P57
Springfield, IL 62701
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
619 E Mason St
#4P57
Springfield, IL 62701
3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406
619 E Mason St
Ste 4
Springfield, IL 62701
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
329 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 439-7280
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
1901 S Shady St
Ste 1
Mountain City, TN 37683
Phone (423) 727-1103
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365
Interoperability endpoints
- jpatel965362@direct.sentara.net
- jpatel473190@ewd.direct.hshs.org
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Cardiovascular Disease
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
-
- Critical Access Hospital
- Carrollton, IL
- NPI 1811096811
-
- Medicare Defined Swing Bed Hospital Unit
- Hillsboro, IL
- NPI 1003896499
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Cardiovascular Disease
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1255412094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 E MASON ST STE 4P57",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 E MASON ST STE 4P57",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535"
}
],
"practiceLocations": [
{
"address_1": "1901 S Shady St",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"postal_code": "376832021",
"country_code": "US",
"telephone_number": "423-727-6674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 Tusculum Blvd Ste 1200",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377455815",
"country_code": "US",
"telephone_number": "423-638-2270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Judge Gresham Rd Ste A",
"address_purpose": "LOCATION",
"city": "Gray",
"state": "TN",
"postal_code": "376156213",
"country_code": "US",
"telephone_number": "423-467-3000",
"fax_number": "423-467-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 W Taylor St",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "IL",
"postal_code": "624711227",
"country_code": "US",
"telephone_number": "618-283-5463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2428 Knob Creek Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042396",
"country_code": "US",
"telephone_number": "423-262-4400",
"fax_number": "423-262-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Riverview Ave Ste 700",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235101065",
"country_code": "US",
"telephone_number": "757-252-9365",
"fax_number": "757-962-7217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "329 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046062",
"country_code": "US",
"telephone_number": "423-979-4100",
"fax_number": "423-979-4134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JEETENDRA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036173952",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "61845",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "61845",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101281934",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101281934",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036173952",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200951260",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH MEDICAL LICENSE NO.",
"identifier": "5816058-1205",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q060983",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000662912",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpatel473190@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "619 E Mason St Ste 4P57",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627011034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEETENDRA",
"last_name": "PATEL",
"middle_name": "BHAGUBHAI",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.