Active NPI
Shivani Patel
- Physician Assistant
- Milwaukee, WI
National Provider Identifier
1669356721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 507 N 17TH St
Milwaukee, WI 53233-2104 - Phone
- (414) 288-5688
- NPI assigned
- Aug 2, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IL | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
507 N 17TH St
Milwaukee, WI 53233-2104
Mailing address
507 N 17TH St
Milwaukee, WI 53233-2104
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1645 W School St
Suite a
Chicago, IL 60657-2171
3845 McCoy Dr
Suite 101
Aurora, IL 60504-4429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Immediate Care LLC | Current | Accepting new patients |
Locations
7262 Solutions Ctr
Chicago, IL 60677
1645 W School St
Ste A
Chicago, IL 60657
Phone (773) 227-3669
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1669356721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N 17TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N 17TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332104",
"telephone_number": "414-288-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIVANI",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-02",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.