1. Home
  2. Directory
  3. Illinois
  4. Des Plaines
  5. Internal Medicine
  6. NPI Profile

SHANI PATEL DO
NPI 1619465747
Internal Medicine - Pulmonary Disease in Des Plaines, IL

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
1400 E GOLF RD, DES PLAINES, IL 60016(847) 376-8969(773) 283-8688 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Apr 24, 2018 (2 updates tracked since 2018).

About Shani Patel Do NPPES

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

SHANI PATEL DO (NPI 1619465747) is an individual pulmonary disease provider in Des Plaines, Illinois, licensed in Illinois (036.169431) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with West Suburban Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619465747
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSHANI PATELCredential: DO
Location Address1400 E GOLF RDDes Plaines, IL 60016-1236
Mailing Address1400 E Golf Rd Ste 211Des Plaines, IL 60016-8821 · (847) 376-8969
Phone(847) 376-8969
Fax(773) 283-8688
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 24, 2018
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1619465747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036.169431
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036.169431 (IL)
1400 E GOLF RD, Des Plaines, IL 60016
Open in Google Maps ↗

Accepted Insurance

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

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

Shani 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 ID5698006211
PECOS Enrollment IDI20240710000199
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 4

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.
221 services70 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.
217 services79 patients
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.
65 services36 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.
33 services32 patients

Hospital Affiliations CMS Care Compare 5

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

West Suburban Medical Center

Acute Care Hospitals · Oak Park, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140049
Location3 Erie CourtOak Park, IL 60302 · Cook County
Birthing friendly

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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.

Other Providers at the Same Location NPPES 11

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

DR. ARCADIO HILARIO VALENZUELA POMER M.D.
Family Medicine
1400 E GOLF RD, SUITE 118
DES PLAINES, IL 60016
Cook County (847) 635-2001
DR. BHARATI P SHAH IV M.D,
Internal Medicine
1400 E GOLF RD, SUITE # 117
DES PLAINES, IL 60016
Cook County (847) 391-6360
FOSTER AVENUE DENTAL CLINIC P.C.
Dentist
1400 E GOLF RD, SUITE 125
DES PLAINES, IL 60016
Cook County (847) 827-7990
DR. GARY K. ARTINIAN, MD,SC
Internal Medicine
1400 E GOLF RD, #205
DES PLAINES, IL 60016
Cook County (847) 297-7880
DR. MICHAEL JOSEPH PAXHIA M.D.
Ophthalmology
1400 E GOLF RD, SUITE 212
DES PLAINES, IL 60016
Cook County (847) 296-4020
HEAD & NECK ASSOCIATES, SC
Specialist
1400 E GOLF RD, SUITE 121
DES PLAINES, IL 60016
Cook County (847) 827-2300
KHATAU-MANEK LTD
Pharmacy (Community/Retail Pharmacy)
1400 E GOLF RD, SUITE 101
DES PLAINES, IL 60016
Cook County (847) 296-1400
DR. HARBANS K DEOL MD
Obstetrics & Gynecology
1400 E GOLF RD, SUITE 114
DES PLAINES, IL 60016
Cook County (847) 390-9870

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 Shani Patel's NPI number?

The NPI number for Shani Patel is 1619465747. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Shani Patel located?

Shani Patel practices at 1400 E Golf Rd, Des Plaines, IL 60016. The listed phone number is (847) 376-8969.

What is Shani Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shani Patel enrolled in Medicare?

Yes. Shani 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.

What insurance does Shani Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shani 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 Shani Patel affiliated with any hospitals?

According to CMS data, Shani Patel is affiliated with West Suburban Medical Center, Amita Health Resurrection Medical Center, Advocate Lutheran General Hospital, Community First Medical Center and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Shani Patel was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.