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PREETI PATEL MD
NPI 1336580273
Internal Medicine - Critical Care Medicine in Mattoon, IL

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
1000 HEALTH CENTER DR STE 101, MATTOON, IL 61938(217) 258-4158(217) 258-2519 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2025, Dec 15, 2023, Jul 6, 2023 and 1 more (4 updates tracked since 2016).

About Preeti Patel Md NPPES

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

PREETI PATEL MD (NPI 1336580273) is an individual critical care medicine provider in Mattoon, Illinois, licensed in Illinois (036141452) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336580273
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NamePREETI PATELCredential: MD
Location Address1000 HEALTH CENTER DR STE 101Mattoon, IL 61938-4644
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 258-4158
Fax(217) 258-2519
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2013
Last NPPES UpdateFebruary 7, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1336580273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036141452
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036141452 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036141452 (IL)
1000 HEALTH CENTER DR STE 101, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 655-2000
Location 21001 Main St Ste 200Peoria, IL 61606-2035 · Phone (309) 672-5682
Location 31000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4960 · Fax (217) 238-4951

Accepted Insurance

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

Preeti 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 ID4385950484
PECOS Enrollment IDI20160824002482
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

3

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

Sarah Bush Lincoln Health Center
Same address
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
Methodist Medical Center Of Illinois
109 mi
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1184670663 (309) 671-8230
Osf Multi-Specialty Group
116 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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 9

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
136 services80 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.
57 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services45 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.
32 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629
A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers80 claims80 services$36.25 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers47 claims47 services$88.80 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers44 claims85 services$33.90 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers27 claims110 services$20.68 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers25 claims112 services$16.85 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers50 claims50 services$54.68 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALI HASSAN ALI WARDA MD
Internal Medicine (Pulmonary Disease)
1000 HEALTH CENTER DR STE 101
MATTOON, IL 61938
Coles County (217) 258-4158
MS. CANDIDA ANN HALLEY PA-C
Physician Assistant
1000 HEALTH CENTER DR STE 101
MATTOON, IL 61938
Coles County (217) 258-4020

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 Preeti Patel's NPI number?

The NPI number for Preeti Patel is 1336580273. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Preeti Patel located?

Preeti Patel practices at 1000 Health Center Dr Ste 101, Mattoon, IL 61938. The listed phone number is (217) 258-4158.

What is Preeti Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Preeti Patel enrolled in Medicare?

Yes. Preeti 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 Preeti Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Preeti Patel reassigns Medicare benefits to 3 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Methodist Medical Center Of Illinois (Peoria, IL) and Osf Multi-Specialty Group (Peoria, 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 Preeti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Preeti Patel accept?

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

Is Preeti Patel affiliated with any hospitals?

According to CMS data, Preeti Patel is affiliated with Carle Foundation Hospital, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Preeti Patel was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.