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ABHIJIT PATIL
NPI 1104288497
Radiology - Diagnostic Radiology in Mchenry, IL

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
95.46/100
CMS Quality Rating
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 334-5566(815) 759-4008 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2024, Apr 19, 2024, Nov 9, 2023 and 3 more (6 updates tracked since 2016).

About Abhijit Patil NPPES

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

ABHIJIT PATIL (NPI 1104288497) is an individual diagnostic radiology provider in Mchenry, Illinois, licensed in Illinois (036137696) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104288497
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameABHIJIT PATIL
Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409
Mailing Address1770 Iowa Ave Ste 280Riverside, CA 92507-7401 · (951) 786-0801 · Fax (815) 759-4008
Phone(815) 334-5566
Fax(815) 759-4008
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 24, 2016
Last NPPES UpdateAugust 19, 20246 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1104288497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in IL · 036137696✔ Licensed in TX · R8455✔ Licensed in DE · C1-0026465
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4201 W MEDICAL CENTER DR, Mchenry, IL 60050
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112920 UNIVERSITY BLVD, STE 600SUGAR LAND, TX 77479-6831 · Phone (713) 358-0562
Location 2836 W Wellington AveChicago, IL 60657-5147 · Phone (773) 975-1600
Location 34755 OGLETOWN STANTON ROADNEWARK, DE 19718-2200 · Phone (302) 733-1840 · Fax (302) 733-1633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Abhijit Patil 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 ID345536447
PECOS Enrollment IDI20160915000278, I20180821002074, I20240131004669, I20240826003327, I20240912004024
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

34

Medicare enrollment records show Abhijit Patil reassigns Medicare billing to 34 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Harvard Hospital Inc
18 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431
Rockford Health Physicians
35 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
Humboldt Park Health
41 mi
Family Medicine
1044 N FRANCISCO AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois and Texas enrollments
  • 154 clinicians in this Medicare group
NPI 1740417153 (773) 292-8200
Mercy Health System Corporation
46 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
Carle West Physician Group Inc
131 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Marshfield Clinic Inc
188 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Edward W Sparrow Hospital Association
193 mi
Radiology
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 117 clinicians in this Medicare group
NPI 1134982812 (517) 364-1000
Dickinson County Healthcare System
243 mi
Emergency Medical Services
1721 S STEPHENSON AVE
Iron Mountain, MI 49801
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1891751186 (906) 774-1313
Radiology Associates Of South Carolina LLC
605 mi
Diagnostic Radiology
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1083491906 (877) 224-8003
Pco PC
654 mi
Diagnostic Radiology
7785 N STATE ST
Lowville, NY 13367
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1881230563 (800) 858-5876

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 29

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,350 services12 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
1,277 services1,240 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,232 services14 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
575 services562 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
250 services245 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
169 services168 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo 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.

95.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

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
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
DR. KEILLA AMORIM SCHMIDT M.D.
Surgery (Surgical Critical Care)
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4530
CENTEGRA CLINICAL LABORATORIES, LLC
Clinical Medical Laboratory
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4800
DR. CORY EDWARD MELLON MD
Hospitalist
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 759-4323
SAAD AHMAD WARAICH M.D
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
SNEHA KUMAR
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
DR. SHAWN MARTEN FALITZ M.D.
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000
ADRIENNE B MEJIA MD MPH
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
McHenry County (815) 344-5000

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 Abhijit Patil's NPI number?

The NPI number for Abhijit Patil is 1104288497. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Abhijit Patil located?

Abhijit Patil practices at 4201 W Medical Center Dr, Mchenry, IL 60050. The listed phone number is (815) 334-5566.

What is Abhijit Patil's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Abhijit Patil enrolled in Medicare?

Yes. Abhijit Patil 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 Abhijit Patil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhijit Patil reassigns Medicare benefits to 34 organizations: Mercy Harvard Hospital Inc (Harvard, IL), Rockford Health Physicians (Rockford, IL), Humboldt Park Health (Chicago, IL), Mercy Health System Corporation (Janesville, WI), Carle West Physician Group Inc (Normal, IL) and 29 more organizations, listed in the Medicare section above. 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 Abhijit Patil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhijit Patil accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Abhijit Patil 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 Abhijit Patil affiliated with any hospitals?

According to CMS data, Abhijit Patil is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Abhijit Patil was last updated on August 19, 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.