Dr. Samir A Patel

D.O. | Pediatrics | Male

Dr. Samir A Patel, D.O. is a Decatur, Illinois based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Samir A Patel is 1730 E Lake Shore Dr, Decatur, Illinois - 62521-3809. He can be contacted on phone at 217-329-1000 and fax number 217-329-1055. Dr. Samir A Patel is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samir A Patel is 1992704332 which was assigned by NPPES on 19 Jul, 2005 and it was last updated on 30 Dec, 2021. Dr. Samir A Patel license number is 036096741 for Pediatrics (208000000X) in Illinois.
Dr. Samir A Patel is a pediatrician who 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.
Complete Profile:
Dr. Samir A Patel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Samir A Patel
Credential :D.O.
Gender :Male
Sole Proprietor : Yes
Business Address:
Dr. Samir A Patel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1730 E Lake Shore Dr
Decatur, IL, 62521-3809
United States
Phone Number :217-329-1000
Fax Number :217-329-1055
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1992704332
NPI Entity Type : Individual
First Enrolment Date : 19 Jul, 2005
Last Updated On : 30 Dec, 2021
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samir A Patel are as mentioned. Primary taxonomy code for Dr. Samir A Patel, D.O. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes036096741IL
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samir A Patel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
036094812MEDICAIDIL
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
spatel31660@ewd.direct.hshs.org

No affiliationDIRECT
Direct
OTHER
Other
CDA/CCD/TXT
1730 E LAKE SHORE DR,
DECATUR, IL, 62521-3809
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1900 E Lake Shore Dr, Suite 330
Decatur, IL, 62521-3824
United States
Phone Number :217-423-2889
Fax Number :217-423-2923
Business Location:
Patients can refer following map for directions to Dr. Samir A Patel practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.