Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAJ D PATEL M.D.
NPI 1104245406
Internal Medicine - Cardiovascular Disease in Milwaukee, WI

Q: What is Raj Patel's NPI number?

The NPI number for Raj Patel is 1104245406. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Raj Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Raj Patel was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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 April 15, 2014PECOS EnrolledAccepts Medicare Assignment

2025 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 389-2797 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, Mar 17, 2018, Aug 14, 2017 (3 updates tracked since 2017).

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About Raj D Patel M.d. NPPES

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

RAJ D PATEL M.D. (NPI 1104245406) is an individual cardiovascular disease provider in Milwaukee, Wisconsin, licensed in Illinois (XX01248494) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104245406

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameRAJ D PATELCredential: M.D.

Location Address2025 W OKLAHOMA AVEMilwaukee, WI 53215-4455

Mailing Address1918 Glenbridge RdBloomington, IL 61704-8708 · (337) 842-8492

Phone(414) 389-2797

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateJune 23, 20263 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1104245406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · XX01248494

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 036.143275 (IL)

2025 W OKLAHOMA AVE, Milwaukee, WI 53215

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Secondary Practice Locations 3

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000 · Fax (815) 599-7974

Location 2530 NE Glen Oak AvePeoria, IL 61637-4501 · Phone (309) 655-2000

Location 32359 Shelley CtShelby Township, MI 48317-4501 · Phone (337) 842-8492

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raj D Patel M.d. 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 ID6901170406

PECOS Enrollment IDI20210608000363

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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services97 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.

91 services52 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

71 services71 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

66 services64 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

54 services54 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140160

Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County

Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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

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.

NEUROLOGY-NEURODIAGNOSTIC CENTER, S.C.

Psychiatry & Neurology (Neurology)

2025 W OKLAHOMA AVE, SUITE 120
MILWAUKEE, WI 53215

Milwaukee County (414) 382-8960

MISS KRISTEN ELIZABETH BRODZELLER PT

Physical Therapist

2025 W OKLAHOMA AVE, SUITE 104
MILWAUKEE, WI 53215

Milwaukee County (414) 647-7678

WHEATON FRANCISCAN HEALTHCARE

Clinic/Center

2025 W OKLAHOMA AVE, SUITE 104
MILWAUKEE, WI 53215

Milwaukee County (414) 647-7678

MARSHAL J. MIRVISS M.D.

Internal Medicine

2025 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 389-2790

DR. DANA L REAMY

Physical Therapist

2025 W OKLAHOMA AVE, SUITE 104
MILWAUKEE, WI 53215

Milwaukee County (414) 647-7678

RICHARD PAUL CHAMPEAU P.T.

Physical Therapist

2025 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 647-7678

DR. NIRAJ SAWHNEY M.D, MRCP

Internal Medicine (Infectious Disease)

2025 W OKLAHOMA AVE, SUITE 114
MILWAUKEE, WI 53215

Milwaukee County (414) 647-1537

ST FRANCIS HOSPITAL

Rehabilitation Unit

2025 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 647-7678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raj Patel's NPI number?

The NPI number for Raj Patel is 1104245406. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Raj Patel located?

Raj Patel practices at 2025 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 389-2797.

What is Raj Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Raj Patel enrolled in Medicare?

Yes. Raj Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raj Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Raj Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raj Patel affiliated with any hospitals?

According to CMS data, Raj Patel is affiliated with Fhn Memorial Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Raj Patel was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.