Active NPI
Shilpa Majmudar Patel, MD
- Infectious Disease Physician
- Ford Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036107476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315020926 | Other | MI | CONTROLLED SUBSTANCE |
| 4755506 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-107476 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Internal Medicine | Current | 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
- 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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.