NILAM M PATEL PA-C
NPI 1053678557
Physician Assistant in Mchenry, IL

Q: What is Nilam Patel's NPI number?

The NPI number for Nilam Patel is 1053678557. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Nilam Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nilam Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 344-5000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 19, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Nilam M Patel Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NILAM M PATEL PA-C (NPI 1053678557) is an individual physician assistant in Mchenry, Illinois, licensed in Illinois (085005768) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1053678557

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNILAM M PATELCredential: PA-C

Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050

Mailing Address10350 Haligus RdHuntley, IL 60142-9545 · (815) 338-6600 · Fax (847) 802-7112

Phone(815) 344-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 20, 2012

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

✔ NPI 1053678557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085005768✔ Licensed in KY · PA1716

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4201 W MEDICAL CENTER DR, Mchenry, IL 60050

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Secondary Practice Locations 5

Location 185 N Grand AveFort Thomas, KY 41075-1793 · Phone (859) 572-3617 · Fax (859) 572-2366

Location 2360 Station DrCrystal Lake, IL 60014-7978 · Phone (815) 338-6600 · Fax (815) 455-8044

Location 31925 Huntley RdWest Dundee, IL 60118-9301 · Phone (815) 338-6600 · Fax (847) 426-5162

Location 42507 N Richmond RdMcHenry, IL 60051-5407 · Phone (815) 338-6600 · Fax (815) 385-3255

Location 54201 W Medical Center DrMcHenry, IL 60050 · Phone (815) 344-5000

Other Identifiers 2

Other085005768IL · State License

Medicaid7100224850KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nilam M Patel Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749444982

PECOS Enrollment IDI20161019000878

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

194 services194 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

182 services181 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIGIN HEYDARI MD

Student in an Organized Health Care Education/Training Program