RIDDHI PATEL M.D.
NPI 1164747754
Otolaryngology in Winfield, IL

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
25 N WINFIELD RD, WINFIELD, IL 60190(630) 933-6279 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Aug 16, 2017 (2 updates tracked since 2017).

About Riddhi Patel M.d. NPPES

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

RIDDHI PATEL M.D. (NPI 1164747754) is an individual otolaryngology provider in Winfield, Illinois, licensed in Illinois (036135272) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Bolingbrook.

NPPES Registry Identity

NPI1164747754
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameRIDDHI PATELCredential: M.D.
Location Address25 N WINFIELD RDWinfield, IL 60190-1222
Mailing Address25 N Winfield RdWinfield, IL 60190-1295
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2009
Enumeration DateApril 7, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1164747754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IL · 036135272
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
25 N WINFIELD RD, Winfield, IL 60190

Secondary Practice Location 1

Location 1215 Remington Blvd, Ste LBolingbrook, IL 60440-3656 · Phone (630) 759-0065

Other Identifiers 2

Other206147IL · Medicare Group
OtherF400392762IL · Medicare Individual

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 Patel 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 ID8628296654
PECOS Enrollment IDI20140904000397
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.

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.
139 services139 patients
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.
123 services107 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.
83 services58 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
76 services63 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
45 services43 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Vascular Surgery)
25 N WINFIELD RD, SUITE 201
WINFIELD, IL 60190
Nurse Practitioner
25 N WINFIELD RD
WINFIELD, IL 60190
Speech-Language Pathologist
25 N WINFIELD RD
WINFIELD, IL 60190
Internal Medicine (Pulmonary Disease)
25 N WINFIELD RD
WINFIELD, IL 60190
Obstetrics & Gynecology
25 N WINFIELD RD
WINFIELD, IL 60190
Anesthesiology
25 N WINFIELD RD
WINFIELD, IL 60190
Otolaryngology
25 N WINFIELD RD
WINFIELD, IL 60190
Nurse Practitioner (Family)
25 N WINFIELD RD
WINFIELD, IL 60190

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 Patel's NPI number?

The NPI number for Riddhi Patel is 1164747754. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Riddhi Patel located?

Riddhi Patel practices at 25 N Winfield Rd, Winfield, IL 60190. The listed phone number is (630) 933-6279.

What is Riddhi Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Riddhi Patel enrolled in Medicare?

Yes. Riddhi 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 Riddhi Patel affiliated with any hospitals?

According to CMS data, Riddhi Patel is affiliated with Palos Community Hospital, Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Riddhi Patel was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.