LISA PATEL MD
NPI 1154810778
Internal Medicine in Kankakee, IL

Q: What is Lisa Patel's NPI number?

The NPI number for Lisa Patel is 1154810778. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Lisa Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Patel was last updated on June 22, 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.

Active since May 09, 2018PECOS Enrolled

401 N WALL ST STE 102, KANKAKEE, IL 60901(815) 928-5090(815) 928-5079 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2021, May 9, 2018 (2 updates tracked since 2018).

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About Lisa Patel Md NPPES

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

LISA PATEL MD (NPI 1154810778) is an individual internal medicine provider in Kankakee, Illinois, licensed in Illinois (036.155634) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1154810778

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLISA PATELCredential: MD

Location Address401 N WALL ST STE 102Kankakee, IL 60901-2934

Mailing Address401 N Wall St Ste 102Kankakee, IL 60901-2934 · (815) 928-5090 · Fax (815) 928-5079

Phone(815) 928-5090

Fax(815) 928-5079

Sole ProprietorNo

Enumeration DateMay 9, 2018

Last NPPES UpdateJune 22, 20212 updates tracked since enumeration

NPPES CertifiedJune 22, 2021

✔ NPI 1154810778 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 · 036.155634

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.

401 N WALL ST STE 102, Kankakee, IL 60901

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Secondary Practice Location 1

Location 11650 W Harrison StChicago, IL 60612-3800 · Phone (312) 942-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa 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 Reassignment

Medicare enrollment records show Lisa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Health System

0.1 mi

Psychiatry

500 N WALL ST, SUITE 200
Kankakee, IL 60901

Reassigned Medicare billing, Illinois enrollment
381 clinicians in this Medicare group

NPI 1336354430 (815) 937-1237

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 60901 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

7 suppliers21 claims65 services$6.57 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers19 claims26 services$1.09 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers13 claims14 services$21.01 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers13 claims13 services$197.96 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 5

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

TRACEY SAMANTHA PEACHEY FNP

Nurse Practitioner