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RIDDHI PAKRASI M.D.
NPI 1114283215
Internal Medicine in Bolingbrook, IL

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
130 N WEBER RD, SUITE 100, BOLINGBROOK, IL 60440(630) 646-5777(630) 646-5729 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riddhi Pakrasi M.d. NPPES

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

RIDDHI PAKRASI M.D. (NPI 1114283215) is an individual internal medicine provider in Bolingbrook, Illinois, licensed in Illinois (036.137027) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114283215
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRIDDHI PAKRASICredential: M.D.
Location Address130 N WEBER RD, SUITE 100Bolingbrook, IL 60440-1518
Mailing Address130 N Weber Rd, Suite 100Bolingbrook, IL 60440-1518 · (630) 646-5777 · Fax (630) 646-5729
Phone(630) 646-5777
Fax(630) 646-5729
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1114283215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.137027
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
130 N WEBER RD, Bolingbrook, IL 60440
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Riddhi Pakrasi 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 ID4385950732
PECOS Enrollment IDI20150831000888
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 9

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.

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.
291 services178 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
115 services115 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.
32 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60440 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers39 claims102 services$5.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims15 services$0.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

ASHLEY MARIE LAMM LPC
Counselor (Professional)
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5777
DR. COLLEEN KELEHER M.D.
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5770
EDWARD HOSPITAL
Family Medicine
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5770
KINJAL U. SHAH M.D.
Internal Medicine
130 N WEBER RD, STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
LINDSEY ANN LYNCH PA-C
Physician Assistant
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
DR. KATHLEEN KELLY M.D.
Preventive Medicine (Occupational Medicine)
130 N WEBER RD
BOLINGBROOK, IL 60440
Will County (630) 646-5770
JO ANN MURPHY
Internal Medicine
130 N WEBER RD, STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
GREGORY W GOSKA M.D.
Hospitalist
130 N WEBER RD, SUITE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777

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 Riddhi Pakrasi's NPI number?

The NPI number for Riddhi Pakrasi is 1114283215. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Riddhi Pakrasi located?

Riddhi Pakrasi practices at 130 N Weber Rd Suite 100, Bolingbrook, IL 60440. The listed phone number is (630) 646-5777.

What is Riddhi Pakrasi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Riddhi Pakrasi enrolled in Medicare?

Yes. Riddhi Pakrasi 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 Riddhi Pakrasi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Riddhi Pakrasi 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 Riddhi Pakrasi affiliated with any hospitals?

According to CMS data, Riddhi Pakrasi is affiliated with Swedish Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Riddhi Pakrasi was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.