JEETENDRA B. PATEL M.D. – NPI #1255412094
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

JEETENDRA PATEL is a physician located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1255412094 to JEETENDRA PATEL on October 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JEETENDRA BHAGUBHAI PATEL. According to the NPI Registry, there are 7 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on May 04, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEETENDRA PATEL below.

NPI Profile for
JEETENDRA B. PATEL

NPI Number
1255412094
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEETENDRA B. PATEL
Other Name: JEETENDRA BHAGUBHAI PATEL
Credentials
M.D.
Primary location
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701-1034
Phone: (217) 788-0706 Fax: (217) 525-2535
7 Other location(s):
650 W Taylor St
Vandalia, IL 62471-1227
Phone: (618) 283-5463
115 Judge Gresham Rd Ste A
Gray, TN 37615-6213
Phone: (423) 467-3000
Fax: (423) 467-3000
1410 Tusculum Blvd Ste 1200
Greeneville, TN 37745-5815
Phone: (423) 638-2270
2428 Knob Creek Rd Ste 201
Johnson City, TN 37604-2396
Phone: (423) 262-4400
Fax: (423) 262-4400
329 N State Of Franklin Rd
Johnson City, TN 37604-6062
Phone: (423) 979-4100
Fax: (423) 979-4134
1901 S Shady St
Mountain City, TN 37683-2021
Phone: (423) 727-6674
301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Phone: (757) 252-9365
Fax: (757) 962-7217
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 04, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEETENDRA PATEL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherANTHEM PROVIDER NUMBERIN000000662912
otherUTAH MEDICAL LICENSE NO.UT5816058-1205
medicaidIN200951260
medicaidTNQ060983
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)
IL 036173952
207RC0000X
- Internal Medicine / Cardiovascular Disease
IL 036173952

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
619 E MASON ST STE 4P57,
SPRINGFIELD, IL 77025-1669

Additional Information

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEETENDRA PATEL is affiliated with the following medical group(s):
  • HOSPITAL
    • FRANKLIN WOODS COMMUNITY HOSPITAL
      300 MED TECH PARKWAY
      JOHNSON CITY, TN 37604
    • JOHNSON CITY MEDICAL CENTER
      400 N STATE OF FRANKLIN RD
      JOHNSON CITY, TN 37604
    • SYCAMORE SHOALS HOSPITAL
      1501 WEST ELK AVENUE
      ELIZABETHTON, TN 37643

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.