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SHALINI N PATEL MD
NPI 1609980267
Internal Medicine - Nephrology in Highland Park, IL

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
1160 PARK AVE W STE 5N, HIGHLAND PARK, IL 60035(847) 432-7222 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2024, Jun 26, 2024, Dec 8, 2020 (3 updates tracked since 2020).

About Shalini N Patel Md NPPES

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

SHALINI N PATEL MD (NPI 1609980267) is an individual nephrology provider in Highland Park, Illinois, licensed in Illinois (036-102203) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1609980267
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSHALINI N PATELCredential: MD
Location Address1160 PARK AVE W STE 5NHighland Park, IL 60035-2271
Mailing Address210 S Desplaines StChicago, IL 60661-5500 · (312) 654-2720
Phone(847) 432-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 19, 2006
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1609980267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036-102203
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1160 PARK AVE W STE 5N, Highland Park, IL 60035
Open in Google Maps ↗

Other Identifiers 1

Medicaid036043276IL

Accepted Insurance

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

Shalini N 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 ID7416035985
PECOS Enrollment IDI20100113000827
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

2

Medicare enrollment records show Shalini Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
11 mi
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Associates In Nephrology, S.C.
23 mi
Nephrology
210 S DESPLAINES ST
Chicago, IL 60661
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associates In Nephrology Sc
  • 55 clinicians in this Medicare group
NPI 1184694259 (312) 654-2721

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.

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.
645 services396 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.
469 services175 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
162 services31 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.
128 services74 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
124 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services80 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 4

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

DR. AROUNA SENTHILKUMAR M.D.
Internal Medicine (Nephrology)
1160 PARK AVE W STE 5N
HIGHLAND PARK, IL 60035
Lake County (847) 432-7222
NANCY A NORA MD
Internal Medicine (Nephrology)
1160 PARK AVE W STE 5N
HIGHLAND PARK, IL 60035
Lake County (847) 432-7222
EDWARD SUH
Internal Medicine (Nephrology)
1160 PARK AVE W STE 5N
HIGHLAND PARK, IL 60035
Lake County (847) 532-7222
DR. SANDEEP D. MEHTA
Internal Medicine (Nephrology)
1160 PARK AVE W STE 5N
HIGHLAND PARK, IL 60035
Lake County (847) 432-7222

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 Shalini Patel's NPI number?

The NPI number for Shalini Patel is 1609980267. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Shalini Patel located?

Shalini Patel practices at 1160 Park Ave W Ste 5N, Highland Park, IL 60035. The listed phone number is (847) 432-7222.

What is Shalini Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shalini Patel enrolled in Medicare?

Yes. Shalini 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 Shalini Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Patel reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Associates In Nephrology, S.C. (Chicago, 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 Shalini Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shalini 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 Shalini Patel affiliated with any hospitals?

According to CMS data, Shalini Patel is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shalini 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.