MONICA SHAH PATEL M.D.
NPI 1225390917
Internal Medicine - Endocrinology, Diabetes & Metabolism in Downers Grove, IL

Active since June 09, 2012PECOS EnrolledAccepts Medicare Assignment
5207 MAIN ST, DOWNERS GROVE, IL 60515(630) 789-4910(630) 789-4911 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, May 3, 2022, Mar 3, 2022 and 2 more (5 updates tracked since 2017).

About Monica Shah Patel M.d. NPPES

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

MONICA SHAH PATEL M.D. (NPI 1225390917) is an individual endocrinology, diabetes & metabolism provider in Downers Grove, Illinois, licensed in Illinois (036137752) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2012).

NPPES Registry Identity

NPI1225390917
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMONICA SHAH PATELCredential: M.D.
Location Address5207 MAIN STDowners Grove, IL 60515-4652
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Fax(630) 789-4911
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2012
Enumeration DateJune 9, 2012
Last NPPES UpdateAugust 17, 20235 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1225390917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in IL · 036137752 Licensed in CA · A150817
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5207 MAIN ST, Downers Grove, IL 60515

Other Names 1

Former Name (1)Monica Jayesh Shah M.d.

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

Monica Shah 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 ID1254638299
PECOS Enrollment IDI20171130001999
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 23

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,740 services19 patients
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.
387 services189 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
252 services120 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
218 services143 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
151 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
126 services126 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers42 claims42 services$191.88 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.

Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
5207 MAIN ST, STE 5
DOWNERS GROVE, IL 60515
Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Nurse Practitioner (Psychiatric/Mental Health)
5207 MAIN ST
DOWNERS GROVE, IL 60515
Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5207 MAIN ST
DOWNERS GROVE, IL 60515
Physician Assistant
5207 MAIN ST
DOWNERS GROVE, IL 60515

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 Monica Patel's NPI number?

The NPI number for Monica Patel is 1225390917. It was assigned to this individual provider in the NPPES registry on June 9, 2012. The provider is also known as Monica Jayesh Shah M.D..

Where is Monica Patel located?

Monica Patel practices at 5207 Main St, Downers Grove, IL 60515. The listed phone number is (630) 789-4910.

What is Monica Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Monica Patel enrolled in Medicare?

Yes. Monica 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.

When was this NPI record last updated?

The NPPES record for Monica Patel was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.