DR. MAULIK PATEL DO
NPI 1124559117
Internal Medicine in Naperville, IL

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
801 S WASHINGTON ST, NAPERVILLE, IL 60540(630) 527-3000 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2021, Aug 11, 2020, Jun 17, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Maulik Patel Do NPPES

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

DR. MAULIK PATEL DO (NPI 1124559117) is an individual internal medicine provider in Naperville, Illinois, licensed in Illinois (036.152808) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124559117
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAULIK PATELCredential: DO
Location Address801 S WASHINGTON STNaperville, IL 60540-7499
Mailing Address801 S Washington StNaperville, IL 60540-7499 · (630) 527-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateMarch 16, 20214 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1124559117 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 · 036.152808
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.
801 S WASHINGTON ST, Naperville, IL 60540

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

Dr. Maulik Patel Do 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 ID9537431366
PECOS Enrollment IDI20200831000210
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
584 services266 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
264 services257 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
251 services134 patients
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 services202 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services17 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 60540 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims18 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$56.36 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 20

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

Pain Medicine (Interventional Pain Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Family Medicine (Hospice and Palliative Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
General Acute Care Hospital
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Internal Medicine (Infectious Disease)
801 S WASHINGTON ST, EDWARD HOSPITAL, ADMINISTRATION, VPMA OFFICE
NAPERVILLE, IL 60540
Radiology (Diagnostic Radiology)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540

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 Maulik Patel's NPI number?

The NPI number for Maulik Patel is 1124559117. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Maulik Patel located?

Maulik Patel practices at 801 S Washington St, Naperville, IL 60540. The listed phone number is (630) 527-3000.

What is Maulik Patel's specialty?

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

Is Maulik Patel enrolled in Medicare?

Yes. Maulik 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.

Is Maulik Patel affiliated with any hospitals?

According to CMS data, Maulik Patel is affiliated with Swedish Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Maulik Patel was last updated on March 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.