DR. SHAMIM Y PATEL MD
NPI 1245298785
Obstetrics & Gynecology in Munster, IN

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
901 MACARTHUR BLVD, MUNSTER, IN 46321(219) 836-4570(219) 836-6380 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2023, Dec 7, 2018 (2 updates tracked since 2018).

About Dr. Shamim Y Patel Md NPPES

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

DR. SHAMIM Y PATEL MD (NPI 1245298785) is an individual obstetrics & gynecology provider in Munster, Indiana, licensed in Indiana (01090703A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodridge, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1245298785
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHAMIM Y PATELCredential: MD
Location Address901 MACARTHUR BLVDMunster, IN 46321-2901
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Fax(219) 836-6380
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1245298785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IN · 01090703A✔ Licensed in IL · 036-098727
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
901 MACARTHUR BLVD, Munster, IN 46321

Secondary Practice Location 1

Location 12363 63rd StWoodridge, IL 60517-1369 · Phone (630) 716-7510

Other Identifiers 2

Medicaid036098727IL
Medicaid300077661IN

Accepted Insurance

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

Dr. Shamim Y Patel Md 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 ID6305917451
PECOS Enrollment IDI20080617000266
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

2

Medicare enrollment records show Shamim Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
Family Medicine
1044 N FRANCISCO AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 154 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Psychiatry & Neurology (Neurocritical Care)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
General Acute Care Hospital
901 MACARTHUR BLVD
MUNSTER, IN 46321
Nurse Anesthetist, Certified Registered
901 MACARTHUR BLVD, ATTN ANESTHESIA
MUNSTER, IN 46321
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Psychiatry & Neurology (Vascular Neurology)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
901 MACARTHUR BLVD, ATTN: PHARMACY DEPARTMENT
MUNSTER, IN 46321

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 Shamim Patel's NPI number?

The NPI number for Shamim Patel is 1245298785. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Shamim Patel located?

Shamim Patel practices at 901 Macarthur Blvd, Munster, IN 46321. The listed phone number is (219) 836-4570.

What is Shamim Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shamim Patel enrolled in Medicare?

Yes. Shamim 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 Shamim Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamim Patel reassigns Medicare benefits to 2 organizations: Community Care Network Inc (St John, IN) and Humboldt Park Health (Chicago, 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 Shamim Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shamim Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shamim 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.

When was this NPI record last updated?

The NPPES record for Shamim Patel was last updated on July 15, 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.