DR. SHAMIM Y PATEL (MD) – Obstetrics & Gynecology Physician, NPI 1245298785
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for DR. SHAMIM Y PATEL (MD)
2363 63rd St
Woodridge, IL 605171369
Phone: (630) 716-7510
Type: Location
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (219) 392-7084
Fax: (219) 703-6854
Type: Mailing
901 MACARTHUR BLVD
MUNSTER, IN 463212901
Phone: (219) 836-4570
Fax: (219) 836-6380
Type: Location
Amita Health, 2363, 63rd Street, Woodridge, DuPage County, Illinois, 60517, United States
WOODRIDGE, IL 605171369
Phone: (630) 716-7510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-09-30 • Largest payer in this snapshot: Ethicon US, LLC ($39).
Total Amount
$39
General + Research + Ownership
Payments
1
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $39 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080617000266 | I | Obstetrics/Gynecology | IL | TBD |
| I20230718002445 | I | Obstetrics/Gynecology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60517)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IL | |
| Diagnostic Radiology | AL | |
| Nuclear Medicine, Diagnostic Radiology | IL | |
| Pain Management, Anesthesiology | IL | |
| Diagnostic Radiology | CA | |
| - | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | IL |
Reviews
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