SHETAL PATEL MD
NPI 1013938513
Hospitalist in Rockford, IL

Q: What is Shetal Patel's NPI number?

The NPI number for Shetal Patel is 1013938513. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Shetal Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shetal Patel was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

2400 N ROCKTON AVE, ROCKFORD, IL 61103(815) 971-5000(630) 527-5526 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shetal Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHETAL PATEL MD (NPI 1013938513) is an individual hospitalist provider in Rockford, Illinois, licensed in Illinois (036105042) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1999).

NPPES Registry Identity

NPI1013938513

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameSHETAL PATELCredential: MD

Location Address2400 N ROCKTON AVERockford, IL 61103-3619

Mailing Address2400 N Rockton Ave.Rockford, IL 61103-3619 · (815) 971-5000 · Fax (630) 527-5526

Phone(815) 971-5000

Fax(630) 527-5526

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1999

Enumeration DateJuly 21, 2006

Last NPPES UpdateNovember 4, 2021

NPPES CertifiedNovember 4, 2021

✔ NPI 1013938513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in IL · 036105042✔ Licensed in IN · 01069061A

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2400 N ROCKTON AVE, Rockford, IL 61103

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Other Identifiers 2

OtherBCBSIL · 2220936

Medicaid036105042IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shetal Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709963622

PECOS Enrollment IDI20120711000306

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Shetal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knd Development 59 LLC

30 mi

Hospitalist

225 EDWARD ST
Sycamore, IL 60178

Reassigned Medicare billing, Illinois enrollment
122 clinicians in this Medicare group

NPI 1528397197 (815) 895-2144

Advocate Health And Hospitals Corporation

65 mi

Cardiovascular Disease

3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1285903849 (630) 719-4799

Galen Inpatient Physicians PC

97 mi

Hospitalist

901 MACARTHUR BLVD
Munster, IN 46321

Reassigned Medicare billing, Indiana enrollment
228 clinicians in this Medicare group

NPI 1275252090 (219) 836-1600

Macoupin Physician Services, PC

211 mi

Hospitalist

20733 N BROAD ST
Carlinville, IL 62626

Reassigned Medicare billing, Illinois enrollment
35 clinicians in this Medicare group

NPI 1013686302 (217) 854-3141

Sound Physicians Of Illinois, LLC

255 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Illinois enrollment
419 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

487 services189 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

198 services194 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

146 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

99 services94 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

62 services55 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150008

Location4321 Fir StreetEast Chicago, IN 46312 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers18 claims18 services$14.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$63.91 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$22.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY REMEDIOS-SMITH M.D.

Pediatrics (Neonatal-Perinatal Medicine)