Individual provider Active NPI

Shashi A Patel, M.D.

  • Anesthesiology Physician
  • Dixon, IL
National Provider Identifier
1659349223
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
403 E 1St St
Dixon, IL 61021-3116
Phone
(815) 285-5600
Fax
(815) 285-5602
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IL Primary

Addresses

Primary practice location

403 E 1St St
Dixon, IL 61021-3116

Mailing address

403 E 1St St
Dixon, IL 61021-3116
Phone (815) 285-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160523000379 IN Practitioner - Anesthesiology 4587857628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte County Anesthesia Associates, LLCGroup PAC ID 4688633241, 26 clinicians

Practice addresses (Care Compare)

301 W Homer St
Franciscian Health Michigan City
Michigan City, IN 46360-4358
Phone (219) 877-1033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-054292ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte County Anesthesia Associates LLC Anesthesiology CurrentSince Apr 18, 2016 Accepting new patients
Lakeshore Interventional Pain Associates, LLC PastSince Sep 10, 2014 Accepting new patients
KSB Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033

8865 W 400 N
Michigan City, IN 46360
Phone (219) 871-0833

1507 Wabash St
Ste 400C
Michigan City, IN 46360
Phone (219) 871-0833

301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

Interoperability endpoints

  • Direct secure messaging: spatel222284@direct.franciscanalliance.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659349223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5600",
            "fax_number": "815-285-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5600",
            "fax_number": "815-285-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHASHI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.