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DR. PATRICK E PHELAN MD
NPI 1083771398
Pediatrics in Indio, CA

Active since January 03, 2007PECOS Enrolled
82934 CIVIC CENTER DR, INDIO, CA 92201(442) 666-5076 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2022, Feb 22, 2021, Oct 12, 2020 (3 updates tracked since 2020).

About Dr. Patrick E Phelan Md NPPES

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

DR. PATRICK E PHELAN MD (NPI 1083771398) is an individual pediatrics provider in Indio, California, licensed in California (C173151) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1083771398
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PATRICK E PHELANCredential: MD
Location Address82934 CIVIC CENTER DRIndio, CA 92201-4308
Mailing Address11175 Campus St # A-1111Loma Linda, CA 92350-1700 · (909) 558-8142
Phone(442) 666-5076
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1083771398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · C173151✔ Licensed in IL · 036-095191✔ Licensed in GA · 86455
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
82934 CIVIC CENTER DR, Indio, CA 92201
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Secondary Practice Location 1

Location 12000 Lake AveWoodstock, IL 60098-7401 · Phone (815) 337-7100

Other Identifiers 1

Medicaid036095191 1IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick E Phelan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Patrick Phelan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois
1,538 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1669493466 (Illinois)
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649
Mercy Health System Corporation
1,594 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92201 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DIANA GASCON MD
Family Medicine
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (909) 382-7100
MRS. JASMIN ESMERALDA AVELAR LCSW
Social Worker (Clinical)
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (760) 477-0733
ANNAMARIA T CHURCH MD
Pediatrics
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (909) 382-7100
RUCHA JUAREZ
Counselor (Mental Health)
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (760) 477-0733
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Pediatrics
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (760) 477-0733
JESSICA VILLARREAL
Social Worker (Clinical)
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (760) 477-0733
SAC HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (909) 382-7100
MARIA LOURDES LASAM NP
Nurse Practitioner (Family)
82934 CIVIC CENTER DR
INDIO, CA 92201
Riverside County (760) 477-0733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Phelan's NPI number?

The NPI number for Patrick Phelan is 1083771398. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Patrick Phelan located?

Patrick Phelan practices at 82934 Civic Center Dr, Indio, CA 92201. The listed phone number is (442) 666-5076.

What is Patrick Phelan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Patrick Phelan enrolled in Medicare?

Yes. Patrick Phelan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patrick Phelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Phelan reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Phelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patrick Phelan was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.