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SHILPAN PATEL DO
NPI 1346536620
Hospitalist in Chicago, IL

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
5145 N CALIFORNIA AVE # M331M274, CHICAGO, IL 60625(773) 878-8200 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Oct 30, 2020, Sep 5, 2018 and 1 more (4 updates tracked since 2018).

About Shilpan Patel Do NPPES

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

SHILPAN PATEL DO (NPI 1346536620) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036136630) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346536620
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHILPAN PATELCredential: DO
Location Address5145 N CALIFORNIA AVE # M331M274Chicago, IL 60625
Mailing Address5145 N California Ave # M331m274Chicago, IL 60625-3661 · (773) 878-8200
Phone(773) 878-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 24, 2011
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1346536620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036136630
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036136630 (IL)
5145 N CALIFORNIA AVE # M331M274, Chicago, IL 60625
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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

Shilpan 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.

PECOS PAC ID9436463262
PECOS Enrollment IDI20150806010995
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 Shilpan Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Covenant Management Services, Inc.
Same address
Obstetrics & Gynecology
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1760432348 (847) 570-2040
Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Best Practices Inpatient Care, Ltd.
26 mi
Internal Medicine
106 BARRINGTON COMMONS CT UNIT 1790
Barrington, IL 60011
  • Reassigned Medicare billing, Illinois enrollment
  • 155 clinicians in this Medicare group
NPI 1073549713 (847) 719-2220

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 3

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.

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.
45 services18 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.
40 services15 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$15.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$67.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shilpan Patel's NPI number?

The NPI number for Shilpan Patel is 1346536620. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Shilpan Patel located?

Shilpan Patel practices at 5145 N California Ave # M331m274, Chicago, IL 60625. The listed phone number is (773) 878-8200.

What is Shilpan Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shilpan Patel enrolled in Medicare?

Yes. Shilpan 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 Shilpan Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpan Patel reassigns Medicare benefits to 3 organizations: Swedish Covenant Management Services, Inc. (Chicago, IL), Endeavor Health Medical Group (Evanston, IL) and Best Practices Inpatient Care, Ltd. (Barrington, 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 Shilpan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shilpan Patel affiliated with any hospitals?

According to CMS data, Shilpan Patel is affiliated with Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Shilpan Patel was last updated on March 7, 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.