NIRAL B PATEL M.D.
NPI 1083845945
Family Medicine in Crystal Lake, IL
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 Monument Health Spearfish Hospital, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Niral Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Round Lake Beach, IL 60073
- Reassigned Medicare billing, Illinois enrollment
- 38 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Ottawa, IL 61350
- Reassigned Medicare billing, Illinois enrollment
- 233 clinicians in this Medicare group
Wall, SD 57790
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDMonument Health Sturgis Hospital
Critical Access Hospitals · Sturgis, SDFall River Hospital - Cah
Critical Access Hospitals · Hot Springs, SDMonument Health Custer Hospital
Critical Access Hospitals · Custer, SDPhysician 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.
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.
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
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.
Which organizations bill Medicare for Niral Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niral Patel reassigns Medicare benefits to 5 organizations: Lake County Acute Care, LLP (Round Lake Beach, IL), Northwestern Medical Faculty Foundation (Carol Stream, IL), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), 24 On Physicians, PC (Ottawa, IL) and Monument Health Rapid City Hospital, Inc. (Wall, SD). 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 Niral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niral Patel accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. 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 Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital, Fall River Hospital - Cah 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.
# Niral B Patel, M.D. · NPI 1083845945
Family Medicine physician in Crystal Lake, Illinois. Individual provider, active in the CMS NPPES registry since July 27, 2009.
## Identity
- **NPI:** 1083845945 (Entity type: Individual)
- **Enumerated:** July 27, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 23371 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 STATION DR, Crystal Lake, IL 60014
- **Phone:** (815) 338-6600 · **Fax:** (815) 455-8044
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Lake County Acute Care, LLP (NPI 1356448542, Round Lake Beach, IL); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); 24 On Physicians, PC (NPI 1346480431, Ottawa, IL); Monument Health Rapid City Hospital, Inc. (NPI 1265811285, Wall, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 15, 2024
- **Other identifiers:** Other 036136344 (IL); Medicaid 100043263 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1083845945) · Data from the CMS NPPES public registry.