GHANSHYAM R PATEL MD
NPI 1215687181
Hospitalist in Waukesha, WI
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ghanshyam R Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ghanshyam Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Apogee Medical Group Waukesha Sc
- 81 clinicians in this Medicare group
Decatur, IL 62526
- Reassigned Medicare billing, Illinois enrollment
- 166 clinicians in this Medicare group
Taylorville, IL 62568
- Reassigned Medicare billing, Illinois enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILPana Community Hospital
Critical Access Hospitals · Pana, ILWaukesha Memorial Hospital
Acute Care Hospitals · Waukesha, WIOconomowoc Memorial Hospital
Acute Care Hospitals · Oconomowoc, WIPhysician 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.
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.
WAUKESHA, WI 53188
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.
Which organizations bill Medicare for Ghanshyam Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ghanshyam Patel reassigns Medicare benefits to 3 organizations: Apogee Medical Group, Waukesha, S.C. (Waukesha, WI), Decatur Memorial Hospital (Decatur, IL) and Taylorville Memorial Hospital (Taylorville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ghanshyam Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 9 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.
# Ghanshyam R Patel, MD · NPI 1215687181
Hospitalist physician in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1215687181 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 036170622 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 AMERICAN AVE, Waukesha, WI 53188-5031
- **Phone:** (262) 928-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Apogee Medical Group, Waukesha, S.C. (NPI 1528544608, Waukesha, WI); Decatur Memorial Hospital (NPI 1164477725, Decatur, IL); Taylorville Memorial Hospital (NPI 1144292020, Taylorville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215687181) · Data from the CMS NPPES public registry.