Individual provider Active NPI

Shilpa Majmudar Patel, MD

  • Infectious Disease Physician
  • Ford Heights, IL
National Provider Identifier
1710979844
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036107476 Issued in IL
Practice address
1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone
(708) 753-5835
Fax
(708) 753-5042
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-107476 IL
Infectious Disease Physician 207RI0200X 4301085096 MI
Infectious Disease Physician 207RI0200X 036107476 IL Primary

Addresses

Primary practice location

1645 Cottage Grove Ave
Ford Heights, IL 60411-3818

Mailing address

1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone (708) 753-5835

Other identifiers 2

IdentifierTypeStateIssuer
5315020926OtherMICONTROLLED SUBSTANCE
4755506MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Spatel@direct.ccprovider.org Direct Cook County

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
I20110303000622 IL Practitioner - Internal MedicinePractitioner - Infectious Disease 4183650047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone (708) 753-5800

500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-107476ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Cook County CurrentSince Nov 23, 2010 Accepting new patients
Cook County Internal Medicine CurrentSince Nov 23, 2010 Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000

25706 Network Pl
Chicago, IL 60673

1645 Cottage Grove Ave
Ford Heights, IL 60411
Phone (708) 753-5800

Interoperability endpoints

  • Direct secure messaging: spatel@direct.ccprovider.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710979844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 COTTAGE GROVE AVE",
            "city": "FORD HEIGHTS",
            "state": "IL",
            "postal_code": "604113818",
            "telephone_number": "708-753-5835",
            "fax_number": "708-753-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 COTTAGE GROVE AVE",
            "city": "FORD HEIGHTS",
            "state": "IL",
            "postal_code": "604113818",
            "telephone_number": "708-753-5835",
            "fax_number": "708-753-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHILPA",
        "middle_name": "MAJMUDAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-107476",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301085096",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036107476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "5315020926",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755506",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Spatel@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ford Heights, IL

Sources for this page

Verify at the official NPI Registry.