Active NPI
Subhash J Patel, M.D.
- Interventional Cardiology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036-072639
- Practice address
- 900 Main St
Ste 320
Peoria, IL 61602-1005 - Phone
- (309) 672-3140
- Fax
- (309) 672-3145
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036-072639 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036-072639 | IL | Primary |
Addresses
Primary practice location
900 Main St
Ste 320
Peoria, IL 61602-1005
Mailing address
900 Main St
Ste 320
Peoria, IL 61602-1005
Phone (309) 672-3140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036072639 | Medicaid | IL |
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
- Interventional Cardiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 NE Crescent Ave
Peoria, IL 61606-1901
Phone (309) 672-4670
1302 N Greenwood St
Spring Valley, IL 61362-1576
Phone (779) 323-8150
221 NE Glen Oak Ave
Peoria, IL 61636-0001
2338 W Van Winkle Way
FL 3
Peoria, IL 61615-7483
Phone (309) 693-2020
5401 N Knoxville Ave
Suite 418
Peoria, IL 61614-5073
Phone (309) 672-4670
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
900 Main St
Peoria, IL 61602-1060
Hospital & facility affiliations
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
- Osf Saint Clare Medical Center
- St Mary Medical Center
- Saint Francis Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 34 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-072639 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Interventional Cardiology | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Carle Health Care Incorporated | Cardiovascular Disease | Current | Accepting new patients |
| Proctor Health Systems | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416
5401 N Knoxville Ave
Ste 418
Peoria, IL 61614
Phone (309) 671-8231
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
900 Main St
Ste 320
Peoria, IL 61602
Phone (309) 672-3140
815 Main St
Ste A1
Peoria, IL 61602
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- spatelmd388528@carlehiedirect.net
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Cardiovascular Disease
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Interventional Cardiology
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1891986907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MAIN ST",
"address_2": "STE 320",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021005",
"telephone_number": "309-672-3140",
"fax_number": "309-672-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST",
"address_2": "STE 320",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021005",
"telephone_number": "309-672-3140",
"fax_number": "309-672-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUBHASH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-072639",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036-072639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072639",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.