DR. SHIVANI TUSHAR PATEL DO
NPI 1285129502
Physical Medicine & Rehabilitation in Springfield, IL
About Dr. Shivani Tushar Patel Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIVANI TUSHAR PATEL DO (NPI 1285129502) is an individual physical medicine & rehabilitation provider in Springfield, Illinois, licensed in Illinois (036.169922) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
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. Shivani Tushar Patel Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Shivani Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62711
- Reassigned Medicare billing, Illinois enrollment
- 28 clinicians in this Medicare group
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 13 clinicians in this Medicare group
Birmingham, AL 35235
- Reassigned Medicare billing, Alabama enrollment
- 81 clinicians in this Medicare group
Mobile, AL 36604
- Reassigned Medicare billing, Alabama enrollment
- 103 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.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMemorial Medical Center
Acute Care Hospitals · Springfield, ILMason District Hospital
Critical Access Hospitals · Havana, ILCarlinville Area Hospital
Critical Access Hospitals · Carlinville, ILSt Francis Hospital
Critical Access Hospitals · Litchfield, ILMedicare 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.
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.
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
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 Shivani Patel's NPI number?
The NPI number for Shivani Patel is 1285129502. It was assigned to this individual provider in the NPPES registry on June 28, 2018.
Where is Shivani Patel located?
Shivani Patel practices at 1301 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 547-9100.
What is Shivani Patel's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Shivani Patel enrolled in Medicare?
Yes. Shivani 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 Shivani Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Patel reassigns Medicare benefits to 4 organizations: Orthopaedic Center Of Il (Springfield, IL), Orthopaedic Surgery Center Of Illinois, LLC (Springfield, IL), Alabama Orthopedic Spine & Sports Medicine Associates P C (Birmingham, AL) and Southern Orthopaedic Alliance, PLLC (Mobile, AL). 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 Shivani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shivani Patel affiliated with any hospitals?
According to CMS data, Shivani Patel is affiliated with St Johns Hospital, Memorial Medical Center, Mason District Hospital, Carlinville Area Hospital and St Francis Hospital.
When was this NPI record last updated?
The NPPES record for Shivani Patel was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.