Paragkumar Patel, M.D.
NPI 1316288517 · Critical Care Medicine (Internal Medicine) Physician · Springfield, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paragkumar Patel, M.D. is a Critical Care Medicine (Internal Medicine) Physician provider in Springfield, IL (NPI 1316288517).
Provider details
- NPI number
- 1316288517
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2020036098 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
119 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 105 | $206 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 14 | $114 |
Typical Medicare-allowed amounts for these services range $114–$206 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 1800 E Lake Shore DrDecatur, IL 62521-3810Phone: (217) 464-5811
- 4401 S Western AveOklahoma City, OK 73109-3413Phone: (405) 713-7403Fax: (405) 713-2794
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Paragkumar Patel's NPI number?
- Paragkumar Patel's National Provider Identifier (NPI) is 1316288517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paragkumar Patel's specialty?
- Paragkumar Patel is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Paragkumar Patel located?
- Paragkumar Patel's practice location on file with NPPES is 800 E Carpenter St, Springfield, IL 62769-3413.
- What is Paragkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Paragkumar Patel is (217) 544-6464.
- Does Paragkumar Patel accept Medicare?
- Paragkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paragkumar Patel's NPI active?
- Yes — Paragkumar Patel's NPI (1316288517) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.