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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANDIPKUMAR M PATEL M.D.
NPI 1386922706
Hospitalist in Springfield, IL

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
701 N 1ST ST, SPRINGFIELD, IL 62781(217) 528-7541(217) 606-3057 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, May 21, 2020 (2 updates tracked since 2020).

About Sandipkumar M Patel M.d. NPPES

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

SANDIPKUMAR M PATEL M.D. (NPI 1386922706) is an individual hospitalist provider in Springfield, Illinois, licensed in Illinois (036134588) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1386922706
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANDIPKUMAR M PATELCredential: M.D.
Location Address701 N 1ST STSpringfield, IL 62781-0001
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(217) 528-7541
Fax(217) 606-3057
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 2, 2011
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1386922706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in IL · 036134588✔ Licensed in FL · ME126077
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 036134588 (IL)
701 N 1ST ST, Springfield, IL 62781
Open in Google Maps ↗

Other Identifiers 1

Medicaid132065700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandipkumar M Patel M.d. 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 ID4688890833
PECOS Enrollment IDI20140723001844
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.

Areas of Expertise CMS Part B claims 6

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.
555 services222 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services121 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.
120 services120 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.
74 services61 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.
62 services62 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services14 patients

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, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

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 62781 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

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

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
2 suppliers15 claims15 services$103.67 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 20

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

DR. LUCAS B STOLLER PHARMD
Pharmacist (Critical Care)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 588-6402
DR. REBECCA NICHOLE MAHON PHD. DABR
Radiology (Radiological Physics)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
CAROL A GORDEN CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
MEMORIAL HOME SERVICES
Hospice Care, Community Based
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-4663
DR. SWAPNA NEKKANTI M.D
Hospitalist
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 528-7541
ANN R LARSON CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
KELSEY A WALLACE CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
MEMORIAL MEDICAL CENTER
Clinic/Center (Multi-Specialty)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000

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 Sandipkumar Patel's NPI number?

The NPI number for Sandipkumar Patel is 1386922706. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Sandipkumar Patel located?

Sandipkumar Patel practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 528-7541.

What is Sandipkumar Patel's specialty?

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

Is Sandipkumar Patel enrolled in Medicare?

Yes. Sandipkumar 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.

Is Sandipkumar Patel affiliated with any hospitals?

According to CMS data, Sandipkumar Patel is affiliated with St Johns Hospital, Memorial Medical Center, Abraham Lincoln Memorial Hospital, Taylorville Memorial Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sandipkumar Patel was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.