Shetal Patel, MD - Medicare Internal Medicine in Rockford, IL

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Shetal Patel, MD is a medicare enrolled "Hospitalist" physician in Rockford, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Macoupin Physician Services, Pc, Galen Inpatient Physicians Pc and her current practice location is 2400 N Rockton Ave, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 971-5000.

Shetal Patel is licensed to practice in Illinois (license number 036105042) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013938513.

Contact Information

Shetal Patel, MD
2400 N Rockton Ave,
Rockford, IL 61103-3619
(815) 971-5000
(630) 527-5526

Map and Direction




Physician's Profile

Full NameShetal Patel
GenderFemale
SpecialityInternal Medicine
Experience25 Years
Location2400 N Rockton Ave, Rockford, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shetal Patel attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1999
  NPI Data:
  • NPI Number: 1013938513
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709963622
  • Enrollment ID: I20080402000709

Medical Identifiers

Medical identifiers for Shetal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013938513NPI-NPPES
036105042MedicaidIL
BCBSOtherIL2220936

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036105042 (Illinois)Primary
208M00000XHospitalist 01069061A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community HospitalMunster, INHospital
Carlinville Area HospitalCarlinville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Macoupin Physician Services, Pc741634594711
Galen Inpatient Physicians Pc3678464633345

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shetal Patel allows following entities to bill medicare on her behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992034599
PECOS PAC ID: 3678602802
Enrollment ID: O20101021000962
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272
Entity NameMacoupin Physician Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013686302
PECOS PAC ID: 7416345947
Enrollment ID: O20211102001556

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shetal Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shetal Patel, MD
2400 N Rockton Ave.,
Rockford, IL 61103-3619

Ph: (815) 971-5000		Shetal Patel, MD
2400 N Rockton Ave,
Rockford, IL 61103-3619

Ph: (815) 971-5000

Reviews and Comments


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Phone: 815-971-4066    Fax: 815-971-9299

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.