NEIL PATEL M.D.
NPI 1972829489
Pediatrics in Springfield, IL

Q: What is Neil Patel's NPI number?

The NPI number for Neil Patel is 1972829489. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Q: What is Neil Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Neil Patel was last updated on June 1, 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.

Active since April 09, 2010PECOS Enrolled

415 N 9TH ST # 4W64, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2023, Feb 12, 2022, Nov 2, 2020 and 5 more (8 updates tracked since 2020).

On this page

About Neil Patel M.d. NPPES

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

NEIL PATEL M.D. (NPI 1972829489) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036.133463) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and maintains 12 additional practice locations.

NPPES Registry Identity

NPI1972829489

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameNEIL PATELCredential: M.D.

Location Address415 N 9TH ST # 4W64Springfield, IL 62702-5303

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000

Phone(217) 545-8000

Sole ProprietorNo

Enumeration DateApril 9, 2010

Last NPPES UpdateJune 1, 20238 updates tracked since enumeration

NPPES CertifiedJune 1, 2023

✔ NPI 1972829489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IL · 036.133463✔ Licensed in OH · 35139524

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 35139524 (OH)

Also ListedHospitalistTaxonomy 208M00000X · License 35139524 (OH)

415 N 9TH ST # 4W64, Springfield, IL 62702

Open in Google Maps ↗

Secondary Practice Locations 12

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000

Location 22951 Maple AveZanesville, OH 43701-1406 · Phone (740) 454-5000

Location 3335 Glessner AveMansfield, OH 44903-2269 · Phone (419) 526-8533

Location 4272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7500

Location 5401 N Ewing StLancaster, OH 43130-3372 · Phone (740) 687-6907

Location 6730 W Market StLima, OH 45801-4602 · Phone (419) 227-3361

Location 77450 Hospital Dr Ste 100Dublin, OH 43016-8364 · Phone (614) 355-7000

Location 84363 All Seasons Dr Ste 100Hilliard, OH 43026-2050 · Phone (614) 355-5900

Location 97901 Diley Rd Ste 150Canal Winchester, OH 43110-9613 · Phone (614) 355-9050

Location 106435 E Broad StColumbus, OH 43213-1507 · Phone (614) 355-8100

Location 11433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 355-8300

Location 12100 Colemans XingMarysville, OH 43040-7080 · Phone (937) 578-7600

Other Identifiers 1

Medicaid0403167OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neil Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Neil Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siu Physicians & Surgeons, Inc

0.5 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

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.

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.

MRS. LAURA K BOWERS NNP-BC

Nurse Practitioner (Neonatal)

415 N 9TH ST # 4W64
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MADELINE CAROL MIER MD

Pediatrics

415 N 9TH ST # 4W64
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

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 Neil Patel's NPI number?

The NPI number for Neil Patel is 1972829489. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Neil Patel located?

Neil Patel practices at 415 N 9th St # 4w64, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Neil Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Neil Patel enrolled in Medicare?

Yes. Neil Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Neil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Patel reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, IL). The 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 Neil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Patel accept?

Health plans from CareSource list Neil 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.

When was this NPI record last updated?

The NPPES record for Neil Patel was last updated on June 1, 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.