DR. JEETENDRA B PATEL M.D.
NPI 1255412094
Internal Medicine - Interventional Cardiology in Springfield, IL

Q: What is Jeetendra Patel's NPI number?

The NPI number for Jeetendra Patel is 1255412094. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Dr. Jeetendra Bhagubhai Patel MD.

Q: What is Jeetendra Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Jeetendra Patel was last updated on May 4, 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.

Active since October 18, 2006PECOS Enrolled

619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2026, Mar 28, 2025, Nov 22, 2024 and 4 more (7 updates tracked since 2016).

On this page

About Dr. Jeetendra B Patel M.d. NPPES

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

DR. JEETENDRA B PATEL M.D. (NPI 1255412094) is an individual interventional cardiology provider in Springfield, Illinois, licensed in Illinois (036173952) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1255412094

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. JEETENDRA B PATELCredential: M.D.

Location Address619 E MASON ST STE 4P57Springfield, IL 62701-1034

Mailing Address619 E Mason St Ste 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535

Phone(217) 788-0706

Fax(217) 525-2535

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 18, 2006

Last NPPES UpdateMay 4, 20267 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1255412094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in IL · 036173952✔ Licensed in TN · 61845✔ Licensed in VA · 0101281934

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 61845 (TN), 0101281934 (VA), 036173952 (IL)

619 E MASON ST STE 4P57, Springfield, IL 62701

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Other Names 1

Other Name (5)Dr. Jeetendra Bhagubhai Patel Md

Secondary Practice Locations 7

Location 11901 S Shady StMountain City, TN 37683-2021 · Phone (423) 727-6674

Location 21410 Tusculum Blvd Ste 1200Greeneville, TN 37745-5815 · Phone (423) 638-2270

Location 3115 Judge Gresham Rd Ste AGray, TN 37615-6213 · Phone (423) 467-3000 · Fax (423) 467-3000

Location 4650 W Taylor StVandalia, IL 62471-1227 · Phone (618) 283-5463

Location 52428 Knob Creek Rd Ste 201Johnson City, TN 37604-2396 · Phone (423) 262-4400 · Fax (423) 262-4400

Location 6301 Riverview Ave Ste 700Norfolk, VA 23510-1065 · Phone (757) 252-9365 · Fax (757) 962-7217

Location 7329 N State Of Franklin RdJohnson City, TN 37604-6062 · Phone (423) 979-4100 · Fax (423) 979-4134

Other Identifiers 4

Medicaid200951260IN

Other5816058-1205UT · Utah Medical License No.

MedicaidQ060983TN

Other000000662912IN · Anthem Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeetendra B Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769534171

PECOS Enrollment IDI20250311003719

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 Jeetendra Patel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F

0.1 mi

General Acute Care Hospital

800 EAST CARPENTER
Springfield, IL 62769

Reassigned Medicare billing, Illinois enrollment
53 clinicians in this Medicare group

NPI 1184606923 (217) 544-6464

Prairie Cardiovascular Consultants Ltd

4.8 mi

Multi-Specialty

3051 HOLLIS DR FL 2
Springfield, IL 62704

Reassigned Medicare billing, Illinois enrollment
101 clinicians in this Medicare group

NPI 1982714218 (217) 492-9695

Pana Community Hospital Association

37 mi

Family Medicine

118 N WALNUT ST
Assumption, IL 62510

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1942326970 (Illinois)
98 clinicians in this Medicare group

NPI 1487843959 (217) 226-3133

Hillsboro Area Hospital, Inc.

46 mi

Medicare Defined Swing Bed Unit

1200 E TREMONT ST
Hillsboro, IL 62049

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1194705210 (Illinois), NPI 1821078213 (Illinois)
12 clinicians in this Medicare group

NPI 1003896499 (217) 532-6111

Thomas H. Boyd Memorial Hospital

54 mi

Critical Access

800 SCHOOL ST
Carrollton, IL 62016

Reassigned Medicare billing, Illinois enrollment
37 clinicians in this Medicare group

NPI 1811096811 (217) 942-6946

Sarah Bush Lincoln Health Center

65 mi

Critical Access

650 W TAYLOR ST
Vandalia, IL 62471

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1306959689 (Illinois)
121 clinicians in this Medicare group

NPI 1912988734 (618) 283-1232

Medical Education Assistance Corporation

461 mi

Internal Medicine

101 MED TECH PKWY STE 306
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
341 clinicians in this Medicare group

NPI 1235180480 (423) 433-6039

Phoebe Gastroenterology Associates

642 mi

Clinic/Center

2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1659627131 (229) 312-0669

Sentara Medical Group

757 mi

Family Medicine

824 N MILITARY HWY STE 100
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
1,901 clinicians in this Medicare group

NPI 1265485270 (757) 252-2900

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 19

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.

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.

158 services102 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

94 services93 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

75 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

62 services60 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

50 services49 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

47 services44 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

44 services11 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

37 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services20 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

32 services32 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

30 services15 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

24 services20 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.

23 services18 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

17 services17 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

17 services17 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

15 services15 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

15 services15 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

15 services15 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

St Francis Hospital

Critical Access Hospitals · Litchfield, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141350

Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County

Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141352

Location1600 W Walnut StJacksonville, IL 62650 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

27%33 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

17%42 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

46%50 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

2%48 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

REX RIZALDO APRN

Nurse Practitioner (Critical Care Medicine)