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

Q: 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..

Q: 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.

Q: 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.

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: November 01, 2026.

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

On this page

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

Phone(630) 789-4910

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

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Other Names 1

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

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Monica Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

1.7 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

Dupage Medical Group Ltd

2.7 mi

Multi-Specialty

1100 W 31ST ST, STE 300
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
1,061 clinicians in this Medicare group

NPI 1801833983 (630) 469-9200

Provider Profile

1,832 mi

Endocrinology, Diabetes & Metabolism

2204 GRANT RD, #103
Mountain View, CA 94040

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1558447847 (650) 967-8841

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 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

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

124 services47 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

109 services70 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

79 services43 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

56 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services44 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

49 services41 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

36 services35 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

36 services35 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

36 services22 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

30 services23 patients

Albumin (protein) level 82040

The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.

30 services23 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

29 services29 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

29 services28 patients

Cortisol (hormone) measurement, total 82533

Cortisol measurement is a test that checks the level of cortisol, a hormone, in your body. It's often used to assess stress levels or check for conditions like Addison's disease or Cushing's syndrome. This involves a simple blood or saliva sample.

26 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

21 services14 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

19 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 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.

HAJIRA YOUNAS KHAN MD

Internal Medicine

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (630) 435-9888

DR. WEISER EGUIA CORDERO M.D.

Internal Medicine

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (630) 435-9888

JOSI MARIE NINO SLP

Speech-Language Pathologist

5207 MAIN ST, STE 5
DOWNERS GROVE, IL 60515

Dupage County (630) 981-0032

DAVID LABOTKA MD

Internal Medicine

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (630) 435-9888

AMIR WAEL RAAD DNP, PMHNP-BC, RN

Nurse Practitioner (Psychiatric/Mental Health)

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (815) 942-6323

GIGI IP MD

Internal Medicine

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (630) 435-9888

JENNY ABRAHAM APN

Psychiatry & Neurology (Child & Adolescent Psychiatry)

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (815) 314-5282

TIMOTHY VAZQUEZ PA

Physician Assistant

5207 MAIN ST
DOWNERS GROVE, IL 60515

Dupage County (630) 435-9888

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.

Which organizations bill Medicare for Monica Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Patel reassigns Medicare benefits to 3 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL), Dupage Medical Group Ltd (Downers Grove, IL) and (Mountain View, CA). 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 Monica Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.