Active NPI
Raj Patel, MD
- Cardiovascular Disease Physician
- Springfield, IL
National Provider Identifier
1467947341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.156525
- Practice address
- 747 N Rutledge St FL 4
Springfield, IL 62702-6700 - Phone
- (217) 545-8000
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605000604 | MA | Order and Referring Only - Interventional Cardiology | 0840600821 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156525 | IL | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- rpatel321341@ewd.direct.hshs.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125071827 | IL | |
| Hospitalist Physician | 208M00000X | 036156525 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036.156525 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
747 N Rutledge St FL 4
Springfield, IL 62702-6700
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000
Other practice location 1
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
Other practice location 2
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-5811
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpatel321341@ewd.direct.hshs.org | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2024.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1467947341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19639",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949639",
"telephone_number": "217-545-8000",
"fax_number": "844-470-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 N RUTLEDGE ST FL 4",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026700",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "800 E Carpenter St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627691000",
"country_code": "US",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625213810",
"country_code": "US",
"telephone_number": "217-464-5811",
"fax_number": "217-464-1318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "RAJ",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125071827",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036156525",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036.156525",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpatel321341@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "800 E Carpenter St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627691000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 1, 2024; 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.