Individual provider Active NPI

Shalini N Patel, MD

  • Nephrology Physician
  • Highland Park, IL
National Provider Identifier
1609980267
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036-102203 Issued in IL
Practice address
1160 Park Ave W Ste 5N
Highland Park, IL 60035-2271
Phone
(847) 432-7222
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036-102203 IL Primary

Addresses

Primary practice location

1160 Park Ave W Ste 5N
Highland Park, IL 60035-2271

Mailing address

210 S Desplaines St
Chicago, IL 60661-5500
Phone (312) 654-2720

Other identifiers 1

IdentifierTypeStateIssuer
036043276MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spatel13992@direct.northshore.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100113000827 IL Practitioner - NephrologyPractitioner - Internal Medicine 7416035985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians

Practice addresses (Care Compare)

101 Waukegan Rd
Suite 700
Lake Bluff, IL 60044-1687
Phone (847) 549-7222

15 Tower CT
Suite 240
Gurnee, IL 60031-3336
Phone (847) 432-7222

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

Hospital & facility affiliations

  • FMC - Highland Dialysis facility, Highland Park, IL, CCN 142782
  • FMC - Mundelein Dialysis facility, Mundelein, IL, CCN 142731
  • FKC - Grayslake Dialysis facility, Grayslake, IL, CCN 142880
  • FKC - Lake Bluff Dialysis facility, Lake Bluff, IL, CCN 142669
  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-102203ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Mar 1, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 1, 2016 Accepting new patients
Associates in Nephrology, S.C. Nephrology CurrentSince Apr 1, 2021 Accepting new patients
Fresenius Medical Care of Illinois, LLC PastSince Sep 14, 2009 Accepting new patients

Locations

4026 Paysphere Cir
Chicago, IL 60674

825 W 35th St
Chicago, IL 60609
Phone (773) 890-4330

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

15 Tower Ct
Ste 240
Gurnee, IL 60031
Phone (847) 249-1606

1160 Park Ave W
Ste 5N
Highland Park, IL 60035
Phone (847) 432-7222

767 Park Ave W
Ste 260
Highland Park, IL 60035
Phone (847) 432-7222

Interoperability endpoints

  • Direct secure messaging: spatel30842@direct.acumenmd.com
  • Direct secure messaging: spatel13992@direct.northshore.org

Organizations & group practices 4

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 9

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1609980267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W STE 5N",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352271",
            "telephone_number": "847-432-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHALINI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-102203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043276",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel13992@direct.northshore.org",
            "affiliation": "N",
            "address_1": "767 Park Ave W",
            "address_2": "Suite 260",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.