Tejesh N Patel, MD
Individual provider Active NPI Family Medicine Physician · Clinton, WI
NPI 1447268487 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1447268487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 43301020 (WI)
- Practice address
- 307 Ogden Ave
Clinton Clinic
Clinton, WI 53525-9007 - Phone
- (608) 676-2206
- Fax
- (608) 676-4029
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beloit Health System Inc
Practice addresses (Care Compare)
1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 363-5000
307 Ogden Ave
Clinton, WI 53525-9007
Phone (608) 672-2206
5601 E Rockton Rd
Roscoe, IL 61073-7601
Phone (815) 525-4800
5605 E Rockton Rd
Roscoe, IL 61073-7641
Phone (608) 364-5011
Hospital & facility affiliations
- Interim Healthcare of Wisconsin
- Beloit Regional Hospice
- Beloit Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.93 of 100
- Quality
- 64.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.63
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100224000336 | WI | Practitioner - Family Practice | 2264520188 | Reassigns benefits to 1 organization |
| I20110211000988 | IL | Practitioner - Family Practice | 2264520188 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43301020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System, Inc | Current |
Accepting new patients | |
| Beloit Health System Inc | Family Medicine | Current |
Accepting new patients |
| Beloit Clinic, S.C. | Family Medicine | Current | Accepting new patients |
| Beloit Health System Inc | Family Medicine | Current | Accepting new patients |
| Beloit Health System, Inc | Current |
Accepting new patients | |
| Beloit Health System, Inc | Family Medicine | Past | Accepting new patients |
Locations
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
1701 Blackhawk Blvd
South Beloit, IL 61080
Phone (815) 389-2268
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
307 Ogden Ave
Clinton, WI 53525
Phone (608) 364-1348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43301020 | WI | Yes |
Addresses
Primary practice location
307 Ogden Ave
Clinton Clinic
Clinton, WI 53525-9007
Mailing address
1905 E. Huebbe Parkway
Beloit Health System Inc.
Beloit, WI 53511-1842
Phone (608) 364-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447268487 | Medicaid | WI | |
| 12908 | Other | DEAN HEALTH PLAN HMO |
Other providers in Clinton, WI
- Brooke Johansen
- Heather Lynn Kluck
- Alex Marchillo
- Tina Neisius
- Jessica Nenneman
- Shuler Dental Office, S.C.
- Andrew Frank Shuler
- Susan M Spears
- Vop Clinton LLC
- Barbara A Wirkus
All providers in Clinton, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.