GHANSHYAM R PATEL MD
NPI 1215687181
Hospitalist in Waukesha, WI

Active since March 24, 2022PECOS Enrolled
725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-1000 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 8, 2025, Nov 4, 2022 (2 updates tracked since 2022).

About Ghanshyam R Patel Md NPPES

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

GHANSHYAM R PATEL MD (NPI 1215687181) is an individual hospitalist provider in Waukesha, Wisconsin, licensed in Illinois (036170622) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1215687181
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGHANSHYAM R PATELCredential: MD
Location Address725 AMERICAN AVEWaukesha, WI 53188-5031
Mailing Address5970 Churchview DrRockford, IL 61107-2574 · (815) 971-8990
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 24, 2022
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1215687181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036170622
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036170622 (IL), 85387-20 (WI)
725 AMERICAN AVE, Waukesha, WI 53188

Secondary Practice Location 1

Location 15970 Churchview DrRockford, IL 61107-2574 · Phone (815) 971-8990 · Fax (815) 971-9978

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ghanshyam R Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517483191
PECOS Enrollment IDI20250428000449, I20250715003641
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.

Hospital Affiliations CMS Care Compare 4

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Acute Care)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188

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 Ghanshyam Patel's NPI number?

The NPI number for Ghanshyam Patel is 1215687181. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Ghanshyam Patel located?

Ghanshyam Patel practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-1000.

What is Ghanshyam Patel's specialty?

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

Is Ghanshyam Patel enrolled in Medicare?

Yes. Ghanshyam Patel is registered in the Medicare PECOS enrollment system.

Is Ghanshyam Patel affiliated with any hospitals?

According to CMS data, Ghanshyam Patel is affiliated with Decatur Memorial Hospital, Pana Community Hospital, Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ghanshyam Patel was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.