DR. SAMIR A PATEL D.O.
NPI 1992704332
Pediatrics in Decatur, IL

Active since July 19, 2005
1730 E LAKE SHORE DR, DECATUR, IL 62521(217) 329-1000(217) 329-1055 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Samir A Patel D.o. NPPES

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

DR. SAMIR A PATEL D.O. (NPI 1992704332) is an individual pediatrics provider in Decatur, Illinois, licensed in Illinois (036096741) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1992704332
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMIR A PATELCredential: D.O.
Location Address1730 E LAKE SHORE DRDecatur, IL 62521-3809
Mailing Address1900 E Lake Shore Dr, Suite 330Decatur, IL 62521-3824 · (217) 423-2889 · Fax (217) 423-2923
Fax(217) 329-1055
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
NPI 1992704332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036096741
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.

1730 E LAKE SHORE DR, Decatur, IL 62521

Other Identifiers 1

Medicaid036094812IL

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Infectious Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Pulmonary Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Gastroenterology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Rheumatology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992704332, enumerated as an "individual" on July 19, 2005.

The provider is located at 1730 E LAKE SHORE DR DECATUR, IL 62521 and the phone number is (217) 329-1000.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma,. Please consult your insurance carrier or call the provider to verify.