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KAVITA PRAVIN PATEL MD
NPI 1154959435
Family Medicine in Orland Park, IL

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
9550 W 167TH ST STE 100, ORLAND PARK, IL 60467(708) 873-4500(708) 873-4504 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Jun 10, 2020, Apr 1, 2020 (3 updates tracked since 2020).

About Kavita Pravin Patel Md NPPES

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

KAVITA PRAVIN PATEL MD (NPI 1154959435) is an individual family medicine provider in Orland Park, Illinois, licensed in Illinois (036165773) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Rush Medical College Of Rush University (2020).

NPPES Registry Identity

NPI1154959435
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAVITA PRAVIN PATELCredential: MD
Location Address9550 W 167TH ST STE 100Orland Park, IL 60467-5561
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(708) 873-4500
Fax(708) 873-4504
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1154959435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036165773
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9550 W 167TH ST STE 100, Orland Park, IL 60467
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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

Kavita Pravin Patel Md 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 ID42626319
PECOS Enrollment IDI20230919001514
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 8

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.
178 services102 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
85 services67 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.
39 services39 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.
27 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60467 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.15
Promoting Interoperability100
Improvement Activities40

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.

SONIA K KACZOR DO
Family Medicine
9550 W 167TH ST STE 100
ORLAND PARK, IL 60467
Cook County (708) 873-4500
DR. KEVIN CAREY MD
Pediatrics
9550 W 167TH ST STE 100
ORLAND PARK, IL 60467
Cook County (708) 873-4500
MRS. GINA DELAURENTIS LCSW
Social Worker (Clinical)
9550 W 167TH ST STE 100
ORLAND PARK, IL 60467
Cook County (708) 478-3960
ASHLEY J GARCIA FNP
Nurse Practitioner (Acute Care)
9550 W 167TH ST STE 100
ORLAND PARK, IL 60467
Cook County (708) 873-4500
MS. DAWN A MARNELL FNP-C
Nurse Practitioner
9550 W 167TH ST STE 100
ORLAND PARK, IL 60467
Cook County (708) 873-4500

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 Kavita Patel's NPI number?

The NPI number for Kavita Patel is 1154959435. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Kavita Patel located?

Kavita Patel practices at 9550 W 167th St Ste 100, Orland Park, IL 60467. The listed phone number is (708) 873-4500.

What is Kavita Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kavita Patel enrolled in Medicare?

Yes. Kavita 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.

What insurance does Kavita Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kavita 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.

Is Kavita Patel affiliated with any hospitals?

According to CMS data, Kavita Patel is affiliated with Advocate Trinity Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Kavita Patel was last updated on September 20, 2023. 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.