1. Home
  2. Directory
  3. Illinois
  4. Hinsdale
  5. Orthopaedic Surgery
  6. NPI Profile

RONAK PATEL MD
NPI 1205092939
Orthopaedic Surgery - Sports Medicine in Hinsdale, IL

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
72.68/100
CMS Quality Rating
550 W OGDEN AVE, HINSDALE, IL 60521(630) 323-6116(630) 323-6169 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ronak Patel Md NPPES

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

RONAK PATEL MD (NPI 1205092939) is an individual sports medicine provider in Hinsdale, Illinois, licensed in Illinois (036134414) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1205092939
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameRONAK PATELCredential: MD
Location Address550 W OGDEN AVEHinsdale, IL 60521-3186
Mailing Address550 W Ogden AveHinsdale, IL 60521-3186 · (630) 323-6116 · Fax (630) 323-6169
Phone(630) 323-6116
Fax(630) 323-6169
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 1, 2008
Last NPPES UpdateNovember 5, 2015
✔ NPI 1205092939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in IL · 036134414
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
550 W OGDEN AVE, Hinsdale, IL 60521
Open in Google Maps ↗

Other Identifiers 1

OtherF400203280IL · Medicare Part B

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Ronak 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 ID7810110210
PECOS Enrollment IDI20140603000400, I20181023002748
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

2

Medicare enrollment records show Ronak Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hinsdale Orthopaedic Associates, S.C.
Same address
Orthopaedic Surgery
550 W OGDEN AVE
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 58 clinicians in this Medicare group
NPI 1235217209 (630) 323-6116
Illinois Bone And Joint Institute LLC
27 mi
Orthopaedic Surgery
2101 WAUKEGAN RD, SUITE 108
Bannockburn, IL 60015
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 538 clinicians in this Medicare group
NPI 1205922432 (847) 375-3000

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 5

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
101 services82 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
51 services40 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
16 services16 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.
12 services12 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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

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.

72.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability81
Improvement Activities40
Cost52.96

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%3,557 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%736 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
97%311 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%91 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%1,305 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%1,799 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
45%311 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
51%1,461 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
76%227 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 90% · 669 patients
Patients tobacco: 83% · 669 patients
7%54 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%1,799 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,799 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
2%1,799 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MATTHEW M KOSCHNITZKY ATC
Specialist/Technologist (Athletic Trainer)
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116
JOSEPH P MCDANIEL PA
Physician Assistant
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116
DR. MARK A. LORENZ M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116
MRS. KELLY A BURGESS PA-C
Physician Assistant
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116
DR. MARIE KIRINCIC M.D.
Physical Medicine & Rehabilitation
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116
MRS. LARANA A STROPUS MS, ATC
Specialist/Technologist (Athletic Trainer)
550 W OGDEN AVE, SUITE 220
HINSDALE, IL 60521
Dupage County (630) 655-8785
JENNIFER CLARK P. A.
Physician Assistant (Surgical)
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116
KYLIE FLOOD
Specialist/Technologist (Athletic Trainer)
550 W OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 323-6116

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 Ronak Patel's NPI number?

The NPI number for Ronak Patel is 1205092939. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Ronak Patel located?

Ronak Patel practices at 550 W Ogden Ave, Hinsdale, IL 60521. The listed phone number is (630) 323-6116.

What is Ronak Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Ronak Patel enrolled in Medicare?

Yes. Ronak 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 Ronak Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronak Patel reassigns Medicare benefits to 2 organizations: Hinsdale Orthopaedic Associates, S.C. (Hinsdale, IL) and Illinois Bone And Joint Institute LLC (Bannockburn, 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 Ronak Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronak Patel accept?

Health plans from Oscar Health list Ronak 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 Ronak Patel affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Ronak Patel was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.