Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeetendra B Patel, MD

Individual provider Interventional Cardiology Physician · NPI 1255412094

Dr. Jeetendra B Patel, MD is an Interventional Cardiology in Springfield, Illinois. Qualified in 1997, 29 years ago. Practices with Prairie Cardiovascular Consultants Ltd, a 94-clinician group and works from 8 locations. Licensed in Illinois, Tennessee and Virginia.

Years since qualifying
29
Licensed in
IL, TN, VA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 650 W Taylor St, Vandalia, IL 62471-1227 — (618) 283-5463
  • 115 Judge Gresham Rd Ste A, Gray, TN 37615-6213 — (423) 467-3000
  • 1410 Tusculum Blvd Ste 1200, Greeneville, TN 37745-5815 — (423) 638-2270
  • 2428 Knob Creek Rd Ste 201, Johnson City, TN 37604-2396 — (423) 262-4400
  • 329 N State Of Franklin Rd, Johnson City, TN 37604-6062 — (423) 979-4100
  • 1901 S Shady St, Mountain City, TN 37683-2021 — (423) 727-6674
  • 301 Riverview Ave Ste 700, Norfolk, VA 23510-1065 — (757) 252-9365

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036173952 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 61845 (TN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 61845 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101281934 (VA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 0101281934 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036173952 (IL)

Record details

NPI number1255412094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Prairie Cardiovascular Consultants Ltd — 94 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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