Dr. Samir A Patel , DO
Pediatrics • Decatur, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samir Patel has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Samir Patel, DO was a registered Pediatrics practicing in Decatur, IL. Throughout an active medical career spanning 1 years, Dr. Patel provided care at the practice location at 1730 E LAKE SHORE DR until profile deactivation on 2006-03-18.
Practice Location & Contact Primary Location
1730 E Lake Shore Dr
Decatur, IL 625213809
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Decatur, IL
Practicing in Decatur, IL (3277 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2021-12-30NUCC Taxonomy Code: 208000000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Medicine (M.D.)
Internal Medicine - Infectious Disease
Doctor of Medicine (M.D.)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Surgery
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1730 E LAKE SHORE DR, DECATUR, IL 625213809 (Tel: 2173291000)
Registered at 1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 625213824 (Tel: 2174232889)
Registered at 1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 625213824 (Tel: 2174232889)
Recorded as SAMIR PATEL, D.O.
Pediatrics (License #036096741 in IL)
Record officially reactivated for active practice on March 27, 2006
Record deactivated on March 18, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1900 E Lake Shore Dr, Suite 330
Decatur, IL 625213824
Phone: 2174232889
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