Individual provider Active NPI

Shani Patel, DO

  • Pulmonary Disease Physician
  • Des Plaines, IL
National Provider Identifier
1619465747
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036.169431 Issued in IL
Practice address
1400 E Golf Rd
Des Plaines, IL 60016-1236
Phone
(847) 376-8969
Fax
(773) 283-8688
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036.169431 IL
Pulmonary Disease Physician 207RP1001X 036.169431 IL Primary

Addresses

Primary practice location

1400 E Golf Rd
Des Plaines, IL 60016-1236

Mailing address

1400 E Golf Rd Ste 211
Des Plaines, IL 60016-8821
Phone (847) 376-8969

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
I20240710000199 IL Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5698006211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory, Critical Care and Sleep Specialists, LLCGroup PAC ID 8729302054, 9 clinicians

Practice addresses (Care Compare)

1400 E Golf Rd
Suite 201
Des Plaines, IL 60016-8821
Phone (847) 376-8969

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Community First Medical Center Hospital, Chicago, IL, CCN 140251
  • West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.169431ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory, Critical Care and Sleep Specialists, LLC Critical Care Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

5600 W Addison St
Ste 306
Chicago, IL 60634
Phone (773) 283-8664

1400 E Golf Rd
Ste 201
Des Plaines, IL 60016
Phone (847) 298-3338

1400 E Golf Rd
Ste 211
Des Plaines, IL 60016
Phone (847) 635-1005

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA

Organizations & group practices 1

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 6

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1619465747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD STE 211",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168821",
            "telephone_number": "847-376-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161236",
            "telephone_number": "847-376-8969",
            "fax_number": "773-283-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHANI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036.169431",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.169431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.