PRITI J PATEL MD
NPI 1205843067
Family Medicine in Kenosha, WI

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, AURORA HEALTH CARE, KENOSHA, WI 53142(262) 948-7000 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2023, Nov 29, 2021 (2 updates tracked since 2021).

About Priti J Patel Md NPPES

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

PRITI J PATEL MD (NPI 1205843067) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (48617) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205843067
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRITI J PATELCredential: MD
Location Address10400 75TH ST, AURORA HEALTH CAREKenosha, WI 53142-7884
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 948-7030
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 2, 2006
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1205843067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 48617
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.

10400 75TH ST, Kenosha, WI 53142

Other Identifiers 1

Medicaid34812600WI

Accepted 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

Priti J 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 ID4183663883
PECOS Enrollment IDI20060328000548
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.
93 services89 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.
69 services68 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
58 services47 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
48 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Emergency Medicine
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Social Worker (Clinical)
10400 75TH ST, #307
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205843067, enumerated as an "individual" on August 02, 2006.

The provider is located at 10400 75TH ST AURORA HEALTH CARE KENOSHA, WI 53142 and the phone number is (262) 948-7000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare),. Please consult your insurance carrier or call the provider to verify.

Priti Patel is affiliated with: AURORA MEDICAL CENTER KENOSHA.