NPPES file of Aug 9, 2026

Gaurang P. Patel, MD

Geriatric Medicine (Internal Medicine) Physician · Decatur, IL

Gaurang P. Patel, MD is a geriatric medicine (internal medicine) physician with a practice address in Decatur, Illinois, and NPI 1871584946, issued on Oct 28, 2005. Check the license (Illinois 036075836, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871584946
Name
Gaurang P. Patel
Credential
MD
Primary taxonomy
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
License number
036075836 IL
Self-reported in NPPES; status is on the state search
Practice location
2300 N Edward St, Decatur, IL 62526
Phone
(217) 876-3660
Enumerated
Oct 28, 2005
Record last updated
Oct 15, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(217) 876-3665
Medicare enrollment
Enrolled (PECOS I20100805000042); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2300 N Edward St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Samaj Adhikari, MDInternal Medicine Physician1306459979
  2. Coley Adloff, RD LD/NRegistered Dietitian1194808618
  3. Akif Ahmed, DOFamily Medicine Physician1871161430
  4. Bretton Ahrens, NPFamily Nurse Practitioner1356901227
  5. Nadal Aker, M.D.Cardiovascular Disease Physician1083671911
  6. Amber Anderson, M.D.Family Medicine Physician1568752137

Verify Gaurang P. Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036075836
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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93% fewer Medicare Part D claims than the average geriatric medicine (internal medicine) physician in 2024

299 Medicare Part D claims for 142 beneficiaries, against an average of 4,246 among the 3,116 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 22 claims were for opioids.

  1. Gaurang Patel299
  2. Specialty average4,246

Most prescribed

  1. Prednisone24 claims
  2. Pantoprazole Sodium18 claims
  3. Hydrocodone-Acetaminophen16 claims
  4. Doxycycline Hyclate13 claims
  5. Cefuroxime11 claims
  6. Torsemide11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 67.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score63.9
  2. Costout of 100 · 30%56.9
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

2 hospitals and group practices

  1. Decatur Memorial HospitalDecatur, IL · Acute Care Hospitals3 of 5 stars
  2. Pana Community Hospital AssociationPana, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Gaurang P. Patel among 179 geriatric medicine (internal medicine) physician records in Illinois

Gaurang P. Patel, MD is one of 179 geriatric medicine (internal medicine) physician records with a practice address in Illinois. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 92% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 42% of these records are
  • Graduated1982 · median 1997 among the 76 with a school on file
  • Record last updated2014 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0300X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Geriatric Medicine (Internal Medicine) Physician providers in Illinois

There are 179 geriatric medicine (internal medicine) physician records in Illinois.

The 8 geriatric medicine (internal medicine) physician records with the nearest ZIP codes

  1. Hima Atluri, MDDecatur, IL 625261609866052
  2. Kimberley Armour, APRN FPA, AGPCNP-CAuburn, IL 626151609553007
  3. Eli Goodman, MDJacksonville, IL 626501053405589
  4. Lizzette Colon-Ramos, M.D.Effingham, IL 624011114922101
  5. Dima Lababidi, MDSpringfield, IL 627021467473793
  6. Amy Rohlfing, MDRed Bud, IL 622781255335188
  7. Rajeev Dewan, M.D.O Fallon, IL 622691699806638
  8. Suresh Krishnamoorthy, M.D.Centralia, IL 628011760440580

Common questions

What is Gaurang P. Patel, MD's NPI number?

Gaurang P. Patel, MD's National Provider Identifier (NPI) is 1871584946, issued on Oct 28, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Gaurang P. Patel, MD located?

The NPPES record lists a practice address at 2300 N Edward St, Decatur, IL, 62526. Phone: (217) 876-3660. Providers update this record themselves, so call before visiting.

How can I verify Gaurang P. Patel, MD's license?

NPPES lists Illinois license number 036075836, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Gaurang P. Patel, MD prescribe under Medicare Part D?

In 2024, Gaurang P. Patel, MD had 299 Medicare Part D claims for 142 beneficiaries; the average among geriatric medicine (internal medicine) physician prescribers was 4,246. Part D covers Medicare prescriptions only.

What is Gaurang P. Patel, MD's MIPS final score?

The 2023 MIPS final score is 67.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.