NIRAL B PATEL M.D.
NPI 1083845945
Family Medicine in Crystal Lake, IL

Q: What is Niral Patel's NPI number?

The NPI number for Niral Patel is 1083845945. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Q: What is Niral Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Niral Patel was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 27, 2009PECOS EnrolledAccepts Medicare Assignment

360 STATION DR, CRYSTAL LAKE, IL 60014(815) 338-6600(815) 455-8044 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Dec 28, 2021, Oct 19, 2018 and 3 more (6 updates tracked since 2017).

On this page

About Niral B Patel M.d. NPPES

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

NIRAL B PATEL M.D. (NPI 1083845945) is an individual family medicine provider in Crystal Lake, Illinois, licensed in Wisconsin (23371) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1083845945

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNIRAL B PATELCredential: M.D.

Location Address360 STATION DRCrystal Lake, IL 60014

Mailing Address360 Station DrCrystal Lake, IL 60014-7978 · (815) 338-6600 · Fax (815) 455-8044

Phone(815) 338-6600

Fax(815) 455-8044

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 27, 2009

Last NPPES UpdateJanuary 15, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2024

✔ NPI 1083845945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 23371✔ Licensed in MI · 4301095199✔ Licensed in IL · 036136344

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036136344 (IL)

360 STATION DR, Crystal Lake, IL 60014

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Secondary Practice Locations 6

Location 11600 Brady StChesaning, MI 48616-1086 · Phone (989) 845-1800 · Fax (989) 845-1800

Location 210350 Haligus RdHuntley, IL 60142-9545 · Phone (815) 338-6600 · Fax (847) 802-7112

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 5801 S Milwaukee AveLibertyville, IL 60048-3204 · Phone (847) 362-2900

Location 66345 W 79th StBurbank, IL 60459-1133 · Phone (312) 609-0300 · Fax (708) 684-3070

Other Identifiers 2

Other036136344IL · State License

Medicaid100043263WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, CareSource (Common Ground Healthcare), Medica and more.Insurance ›

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

Niral B Patel M.d. 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 ID4587815329

PECOS Enrollment IDI20161025000263, I20190226003145

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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

205 services201 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140202

Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County

Emergency services Birthing friendly

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD

OwnershipVoluntary non-profit - Other

CMS Certification Number431321

Location2140 Junction AveSturgis, SD 57785 · Meade County

Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431323

Location1220 Montgomery StreetCuster, SD 57730 · Custer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

SANDRA JAESCHKE CNP

Nurse Practitioner

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 338-6600

MRS. JENNA T WINSKO ANP-BC

Nurse Practitioner (Adult Health)

360 STATION DR, SUITE 120
CRYSTAL LAKE, IL 60014

McHenry County (815) 477-8900

MARIA JUANITA AVINA RN

Registered Nurse (Diabetes Educator)

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 356-2382

CHRISTOPHER M NORTHERN PA

Physician Assistant

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 356-2330

KATHLEEN L KRETCHMER R.N., C.D.E

Registered Nurse (Diabetes Educator)

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 338-6600

YANBING LI M.D.

Family Medicine

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 338-6600

CHILDREN'S PHYSICIAN GROUP

Pediatrics (Pediatric Cardiology)

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 338-6600

JASON A CARMAN DNP

Nurse Practitioner (Family)

360 STATION DR
CRYSTAL LAKE, IL 60014

McHenry County (815) 338-6600

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 Niral Patel's NPI number?

The NPI number for Niral Patel is 1083845945. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Niral Patel located?

Niral Patel practices at 360 Station Dr, Crystal Lake, IL 60014. The listed phone number is (815) 338-6600.

What is Niral Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niral Patel enrolled in Medicare?

Yes. Niral Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Niral Patel accept?

Health plans from Avera Health Plans, CareSource (Common Ground Healthcare), Medica, Oscar Insurance Company and Sanford Health Plan list Niral Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Niral Patel affiliated with any hospitals?

According to CMS data, Niral Patel is affiliated with Advocate Condell Medical Center, Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Niral Patel was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.