1. Home
  2. Directory
  3. Illinois
  4. Wheaton
  5. Optometrist
  6. NPI Profile

DR. GRISHMA PREMAL PATEL O.D.
NPI 1164622874
Optometrist in Wheaton, IL

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
1325 N MAIN ST, WHEATON, IL 60187(630) 668-4144(630) 668-7559 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Grishma Premal Patel O.d. NPPES

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

DR. GRISHMA PREMAL PATEL O.D. (NPI 1164622874) is an individual optometrist in Wheaton, Illinois, licensed in Illinois (046009678) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1164622874
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. GRISHMA PREMAL PATELCredential: O.D.
Location Address1325 N MAIN STWheaton, IL 60187-3579
Mailing Address1325 N Main StWheaton, IL 60187-3579 · (630) 668-4144 · Fax (630) 668-7559
Phone(630) 668-4144
Fax(630) 668-7559
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004
Enumeration DateJuly 20, 2007
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1164622874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046009678
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 046-009678 (IL)
1325 N MAIN ST, Wheaton, IL 60187
Open in Google Maps ↗

Other Identifiers 1

Medicaid046009678IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Grishma Premal Patel O.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 ID7719944974
PECOS Enrollment IDI20041220000460, I20091216000320
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

6

Medicare enrollment records show Grishma Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grishma P. Patel, O.D. & Associates, P.C.
Same address
Optometrist
1325 N MAIN ST
Wheaton, IL 60187
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1134453897 (630) 668-4144
Advanced Eyecare Of Hanover Park, Corp.
7.1 mi
Optometrist
1156 E LAKE ST
Hanover Park, IL 60133
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1790486207 (630) 855-5542
Advanced Eyecare Of Arlington Heights Corp
15 mi
Optometrist
27 S VAIL AVE # 1840
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1467022608 (847) 368-9800
Advanced Eyecare Of Riverwoods Corp
22 mi
Optometrist
2013 MILWAUKEE AVE
Riverwoods, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1104682731 (224) 676-1022
Advanced Eyecare South Holland Od And Associates PC
33 mi
Optometrist
835 E 162ND ST
South Holland, IL 60473
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1942749791 (708) 333-4444
University Eye Institute PC
39 mi
Optometrist
2720 169TH ST
Hammond, IN 46323
  • Reassigned Medicare billing, Indiana enrollment
NPI 1558596247 (219) 845-2020

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 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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
132 services132 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
115 services113 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.
98 services81 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
68 services24 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services27 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES

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

GRISHMA P. PATEL, O.D. & ASSOCIATES, P.C.
Optometrist
1325 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-4144

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 Grishma Patel's NPI number?

The NPI number for Grishma Patel is 1164622874. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Grishma Patel located?

Grishma Patel practices at 1325 N Main St, Wheaton, IL 60187. The listed phone number is (630) 668-4144.

What is Grishma Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Grishma Patel enrolled in Medicare?

Yes. Grishma 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.

Which organizations bill Medicare for Grishma Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grishma Patel reassigns Medicare benefits to 6 organizations: Grishma P. Patel, O.D. & Associates, P.C. (Wheaton, IL), Advanced Eyecare Of Hanover Park, Corp. (Hanover Park, IL), Advanced Eyecare Of Arlington Heights Corp (Arlington Heights, IL), Advanced Eyecare Of Riverwoods Corp (Riverwoods, IL), Advanced Eyecare South Holland Od And Associates PC (South Holland, IL) and 1 more organization, 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 Grishma Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grishma Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 14 other insurers list Grishma 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.

When was this NPI record last updated?

The NPPES record for Grishma Patel was last updated on February 21, 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.