SHEETAL RAMESHKUMAR PATEL M.D.
NPI 1164689477
Pediatrics - Pediatric Cardiology in Chicago, IL
NPI Status: Active since May 22, 2008
Contact Information
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
Phone: (800) 543-7362
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- PECOS Enrolled
About SHEETAL PATEL
This page provides the complete NPI Profile along with additional information for Sheetal Patel, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1164689477 assigned on May 2008. The practitioner's primary taxonomy code is 2080P0202X with license number 036126120 (IL). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1164689477
- Provider Name
- SHEETAL RAMESHKUMAR PATEL M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 225 E CHICAGO AVE CHICAGO, IL 60611
- Location Phone
- (800) 543-7362
- Mailing Address
- 225 E CHICAGO AVE CHICAGO, IL 60611
- Mailing Phone
- (800) 543-7362
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2008
- Last Update Date
- 07-15-2025
- Code Navigator
A pediatrician like Sheetal Patel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 2515 N Clark St Ste 900
Chicago, IL 60614
(312) 227-4100 - 25 N Winfield Rd
Winfield, IL 60190
(312) 227-4100 - 1475 E Belvidere Rd, Pavilion C Suite 285
Grayslake, IL 60030
(312) 227-4100 - 10350 Haligus Rd Ste 110
Huntley, IL 60142
(312) 227-4100 - 2301 Enterprise Dr
Westchester, IL 60154
(312) 227-4100 - 3722 Touhy Ave
Skokie, IL 60076
(312) 227-4100 - 1895 Arbor Glen Blvd
Schaumburg, IL 60195
(312) 227-4100 - 880 W Central Rd Ste 6400
Arlington Heights, IL 60005
(312) 227-4100 - 1131 Techny Rd
Northbrook, IL 60062
(312) 227-4100 - 900 N Westmoreland Rd Ste 110
Lake Forest, IL 60045
(312) 227-4100 - 1870 Silver Cross Blvd Ste 210
New Lenox, IL 60451
(312) 227-4100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036126120
- License State
- IL
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036126120 | OTHER (01) | IL | STATE LICENSE |
Medicare Participation & PECOS Enrollment Status
Sheetal Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for SHEETAL RAMESHKUMAR PATEL M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 6 | 8 | 9 | 4 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 12 | 8 | 18 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 2 + 8 + 1 + 8 + 4 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1164689477 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790759009 | DANA BRAZDZIUNAS MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 225 E CHICAGO AVE BOX 16 CHICAGO, IL 60611 (312) 227-6720 |
| 1619945094 | DR. HELEN J BINNS MD MPH Individual | Pediatrics | 225 E CHICAGO AVE BOX 157 CHICAGO, IL 60611 (312) 227-6690 |
| 1306806278 | DR. KELLY NICOLE MICHELSON MD MPH Individual | Pediatrics (Pediatric Critical Care Medicine) | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 227-6000 |
| 1881633949 | WILLIAM J REDA M.D. Individual | Pediatrics | 225 E CHICAGO AVE BOX 152 CHICAGO, IL 60611 (773) 880-6903 |
| 1174695571 | DR. JAMI L JOSEFSON M.D. Individual | Pediatrics (Pediatric Endocrinology) | 225 E CHICAGO AVE BOX 54 CHICAGO, IL 60611 (312) 227-6090 |
| 1518153881 | DR. LINDSAY MARIE SKIBLEY M.D. Individual | General Acute Care Hospital (Children) | 225 E CHICAGO AVE CHICAGO, IL 60611 (773) 880-4000 |
| 1790932986 | MARTA PEREZ M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 503-2385 |
| 1497018154 | ANN AND ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Organization | Chronic Disease Hospital (Children) | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 227-4000 |
| 1982968442 | MR. PIERRE MASSON CPO Individual | Orthotist | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 227-6210 |
| 1841284577 | DR. NASER A ZAHRAN M.D. Individual | Pediatrics | 225 E CHICAGO AVE OUTREACH PHYSICIAN SERVICES CHICAGO, IL 60611 (773) 880-6903 |
| 1548322076 | DR. SARAH HLETKO DONAHUE MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 225 E CHICAGO AVE BOX 152 CHICAGO, IL 60611 (773) 880-6903 |
| 1053648097 | SUSAN J SHUMAKER CPNP Individual | Nurse Practitioner (Pediatrics) | 225 E CHICAGO AVE BOX 63 CHICAGO, IL 60611 (312) 227-4750 |
| 1871561340 | DR. JOEL EDWARD FRADER MD Individual | Pediatrics | 225 E CHICAGO AVE GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16 CHICAGO, IL 60611 (312) 227-6111 |
| 1306918164 | ANNE REDMOND SZMERGALSKI OTR/L Individual | Occupational Therapist (Pediatrics) | 225 E CHICAGO AVE BOX 142 CHICAGO, IL 60611 (312) 227-6240 |
| 1780826909 | ALANNA HIGGINS JOYCE MD, MPH Individual | Pediatrics | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 227-4000 |
| 1114161809 | MARY KATHRYN PRAHL M.D. Individual | Pediatrics | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 227-4000 |
| 1962507269 | ANN & ROBERT H. LURIE CHILDREN'S HOSPTIAL OF CHICAGO Organization | General Acute Care Hospital (Children) | 225 E CHICAGO AVE BOX 44 CHICAGO, IL 60611 (312) 227-7118 |
| 1780789081 | ANN & ROBERT H. LURIE CHILDRENS HOSPITAL OF CHICAGO Organization | General Acute Care Hospital (Children) | 225 E CHICAGO AVE BOX 44 CHICAGO, IL 60611 (312) 227-7118 |
| 1538288238 | MARIE ELIZABETH WEISSBOURD PH.D. Individual | Psychologist (Clinical) | 225 E CHICAGO AVE CHICAGO, IL 60611 (312) 227-5298 |
| 1932390663 | MARY ELIZABETH PETTINELLI LCSW Individual | Social Worker (Clinical) | 225 E CHICAGO AVE BOX 10 CHICAGO, IL 60611 (312) 227-6372 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164689477, enumerated in the NPI registry as an "individual" on May 22, 2008
The provider is located at 225 E Chicago Ave Chicago, Il 60611 and the phone number is (800) 543-7362
The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 22, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.