CHIRAG PATEL M.D.
NPI 1205981750
Internal Medicine in Merrillville, IN

Q: What is Chirag Patel's NPI number?

The NPI number for Chirag Patel is 1205981750. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Chirag Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Chirag Patel was last updated on February 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment

70.04/100

CMS Quality Rating

521 E 86TH AVE, SUITE Z, MERRILLVILLE, IN 46410(219) 769-0777(219) 755-0612 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Chirag Patel M.d. NPPES

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

CHIRAG PATEL M.D. (NPI 1205981750) is an individual internal medicine provider in Merrillville, Indiana, licensed in Indiana (01052839A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1996).

NPPES Registry Identity

NPI1205981750

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCHIRAG PATELCredential: M.D.

Location Address521 E 86TH AVE, SUITE ZMerrillville, IN 46410-6173

Mailing Address521 E 86th Ave, Suite ZMerrillville, IN 46410-6173 · (219) 769-0777 · Fax (219) 755-0612

Phone(219) 769-0777

Fax(219) 755-0612

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1996

Enumeration DateJanuary 24, 2007

Last NPPES UpdateFebruary 24, 2014

✔ NPI 1205981750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01052839A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

521 E 86TH AVE, Merrillville, IN 46410

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Other Identifiers 3

Medicare ID-Type Unspecified497970O

Other251203Anthem

Medicare UPINH26539

Accepted Insurance

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

Chirag 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 ID5092880666

PECOS Enrollment IDI20080815000310, I20101216000189, I20220829002069, I20230403001376, I20240912004486, I20241209003398

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 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

798 services323 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

90 services27 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

73 services57 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.

70 services34 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

64 services61 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

48 services48 patients

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424

Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.

42 services41 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.

27 services25 patients

Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien G0182

This service involves a doctor overseeing a patient's care in a hospice, even when the patient isn't present. The doctor regularly creates or adjusts care plans, and reviews patient reports. This supervision is needed for complex, multidisciplinary treatments. It's part of ensuring quality care under Medicare's hospice benefit.

27 services26 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

21 services20 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

20 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee 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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150002

Location600 Grant StGary, IN 46402 · Lake County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

70.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.66

Improvement Activities

Cost

25.91

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers31 claims125 services$6.94 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers18 claims18 services$2.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers22 claims36 services$1.20 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers16 claims16 services$16.78 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers16 claims20 services$6.58 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers14 claims246 services$4.92 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

3 suppliers22 claims620 services$5.82 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers16 claims615 services$0.21 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims4,309 services$0.27 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers31 claims31 services$38.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers17 claims17 services$14.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers27 claims29 services$66.16 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier21 claims630 services$0.78 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers15 claims17 services$14.66 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

4 suppliers43 claims45 services$20.55 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers23 claims23 services$6.64 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.40 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$26.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

THE NEUROLOGICAL INSTITUTE AND SPECIALTY CENTERS PC

Psychiatry & Neurology (Neurology)

521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

Lake County (219) 769-0777

DIGITRACE CARE SERVICES INC

Clinic/Center (Sleep Disorder Diagnostic)

521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

Lake County (212) 769-0777

KAREN M WYSS P.T.

Physical Therapist

521 E 86TH AVE, SUITE J
MERRILLVILLE, IN 46410

Lake County (219) 756-2722

STEPHEN KAROL M.D.

Physical Medicine & Rehabilitation

521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

Lake County (219) 769-0777

LARRY M SALBERG M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

521 E 86TH AVE, SUITE Z
MERRILLVILLE, IN 46410

Lake County (219) 769-0777

VANESSA QUALLS LMHC

Counselor (Mental Health)

521 E 86TH AVE
MERRILLVILLE, IN 46410

Lake County (219) 323-3311

DR. SHAUN WEHLE PSY.D., HSPP, LCAC

Psychologist (Clinical)

521 E 86TH AVE, STE H
MERRILLVILLE, IN 46410

Lake County (219) 323-3311

INDY ORTHOPEDICS

Orthopaedic Surgery

521 E 86TH AVE, SUITE P
MERRILLVILLE, IN 46410

Lake County (219) 755-4550

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 Chirag Patel's NPI number?

The NPI number for Chirag Patel is 1205981750. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Chirag Patel located?

Chirag Patel practices at 521 E 86th Ave Suite Z, Merrillville, IN 46410. The listed phone number is (219) 769-0777.

What is Chirag Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chirag Patel enrolled in Medicare?

Yes. Chirag 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.

What insurance does Chirag Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 1 other insurer list Chirag 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 Chirag Patel affiliated with any hospitals?

According to CMS data, Chirag Patel is affiliated with Riverside Medical Center, Northwestern Medicine Central Dupage Hospital, Methodist Hospitals Inc, St Mary Medical Center Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Chirag Patel was last updated on February 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.