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NILAM BHIKHABHAI PATEL MD
NPI 1104113091
Pediatrics in St Charles, IL

Active since June 30, 2011PECOS Enrolled
3310 W MAIN ST STE 200, ST CHARLES, IL 60175(630) 897-6044(630) 659-3425 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nilam Bhikhabhai Patel Md NPPES

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

NILAM BHIKHABHAI PATEL MD (NPI 1104113091) is an individual pediatrics provider in St Charles, Illinois, licensed in Illinois (036146888) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1104113091
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNILAM BHIKHABHAI PATELCredential: MD
Location Address3310 W MAIN ST STE 200St Charles, IL 60175
Mailing Address3310 W Main St Ste 200St Charles, IL 60175-1024 · (630) 897-6044 · Fax (630) 659-3425
Phone(630) 897-6044
Fax(630) 659-3425
Sole ProprietorNo
Enumeration DateJune 30, 2011
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1104113091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036146888✔ Licensed in MI · 4301099315
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301099315 (MI)
3310 W MAIN ST STE 200, St Charles, IL 60175
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Secondary Practice Location 1

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nilam Bhikhabhai Patel 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 Nilam Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation
10 mi
Multi-Specialty
2285 SEQUOIA DR
Aurora, IL 60506
  • Reassigned Medicare billing, Illinois enrollment
  • 383 clinicians in this Medicare group
NPI 1003542184 (630) 859-6700
Rockford Health Physicians
39 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

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 60175 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 3

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

JENNIFER J MATHEW D.O.
Pediatrics
3310 W MAIN ST STE 200
ST CHARLES, IL 60175
Kane County (630) 897-6044
NASHIRA SEY M.D.
Obstetrics & Gynecology
3310 W MAIN ST STE 200
ST CHARLES, IL 60175
Kane County (630) 897-6044
DR. PATRICK LLOYD DAVIS DO
Obstetrics & Gynecology
3310 W MAIN ST STE 200
ST CHARLES, IL 60175
Kane County (630) 897-6044

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 Nilam Patel's NPI number?

The NPI number for Nilam Patel is 1104113091. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Nilam Patel located?

Nilam Patel practices at 3310 W Main St Ste 200, St Charles, IL 60175. The listed phone number is (630) 897-6044.

What is Nilam Patel's specialty?

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

Is Nilam Patel enrolled in Medicare?

Yes. Nilam Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nilam Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilam Patel reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corporation (Aurora, IL) and Rockford Health Physicians (Rockford, IL). 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 Nilam Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nilam Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nilam 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.

When was this NPI record last updated?

The NPPES record for Nilam Patel was last updated on December 6, 2021. 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.