DR. JAYLEENKUMAR NATUBHAI PATEL M.D.
NPI 1174054100
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2020, Mar 22, 2017 (2 updates tracked since 2017).

About Dr. Jayleenkumar Natubhai Patel M.d. NPPES

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

DR. JAYLEENKUMAR NATUBHAI PATEL M.D. (NPI 1174054100) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (152716) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1174054100
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JAYLEENKUMAR NATUBHAI PATELCredential: M.D.
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1750 W Harrison StChicago, IL 60612-3825 · (312) 942-2552
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1174054100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 152716
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1969 W OGDEN AVE, Chicago, IL 60612

Secondary Practice Location 1

Location 11750 W Harrison StChicago, IL 60612-3825 · Phone (312) 942-2552

Accepted 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. Jayleenkumar Natubhai 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 ID8628328572
PECOS Enrollment IDI20230809003979
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

4

Medicare enrollment records show Jayleenkumar Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
1969 W. OGDEN AVE.
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,169 clinicians in this Medicare group
Adult Medicine
610 S MAPLE AVE, SUITE 4600
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group

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 2

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.
37 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Dermatology
1969 W OGDEN AVE
CHICAGO, IL 60612

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 Jayleenkumar Patel's NPI number?

The NPI number for Jayleenkumar Patel is 1174054100. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Jayleenkumar Patel located?

Jayleenkumar Patel practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Jayleenkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jayleenkumar Patel enrolled in Medicare?

Yes. Jayleenkumar 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 Jayleenkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jayleenkumar Patel reassigns Medicare benefits to 4 organizations: Cook County (Chicago, IL), Rush University Medical Group (Chicago, IL), Rush Oak Park Physicians Group Adult Medicine (Oak Park, IL) and Methodist Medical Center Of Illinois (Peoria, IL). 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 Jayleenkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jayleenkumar Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jayleenkumar 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 Jayleenkumar Patel affiliated with any hospitals?

According to CMS data, Jayleenkumar Patel is affiliated with John H Stroger Jr Hospital and Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Jayleenkumar Patel was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.