DR. KALPESH ASHVIN PATEL M.D.
NPI 1225322068
Internal Medicine in Oak Park, IL

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment
3 ERIE CT, SUITE L-700, OAK PARK, IL 60302(708) 763-6908 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kalpesh Ashvin Patel M.d. NPPES

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

DR. KALPESH ASHVIN PATEL M.D. (NPI 1225322068) is an individual internal medicine provider in Oak Park, Illinois, licensed in Illinois (125.059565) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225322068
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KALPESH ASHVIN PATELCredential: M.D.
Location Address3 ERIE CT, SUITE L-700Oak Park, IL 60302-2519
Mailing Address3 Erie CtOak Park, IL 60302-2519 · (708) 763-6908
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 8, 2011
Last NPPES UpdateOctober 4, 2011
NPI 1225322068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 125.059565
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.
3 ERIE CT, Oak Park, IL 60302

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

Dr. Kalpesh Ashvin 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 ID8224251673
PECOS Enrollment IDI20150923001762
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
576 services208 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
201 services184 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services65 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 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
1 supplier11 claims11 services$119.27 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 20

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

Physical Therapist
3 ERIE CT
OAK PARK, IL 60302
Nurse Practitioner (Family)
3 ERIE CT
OAK PARK, IL 60302
Nurse Practitioner
3 ERIE CT
OAK PARK, IL 60302
Internal Medicine
3 ERIE CT, SUITE L700
OAK PARK, IL 60302
Occupational Therapist
3 ERIE CT
OAK PARK, IL 60302
Pathology (Anatomic Pathology & Clinical Pathology)
3 ERIE CT
OAK PARK, IL 60302
Internal Medicine (Rheumatology)
3 ERIE CT, L700
OAK PARK, IL 60302
Physician Assistant (Medical)
3 ERIE CT
OAK PARK, IL 60302

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 Kalpesh Patel's NPI number?

The NPI number for Kalpesh Patel is 1225322068. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Kalpesh Patel located?

Kalpesh Patel practices at 3 Erie Ct Suite L-700, Oak Park, IL 60302. The listed phone number is (708) 763-6908.

What is Kalpesh Patel's specialty?

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

Is Kalpesh Patel enrolled in Medicare?

Yes. Kalpesh 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 Kalpesh Patel affiliated with any hospitals?

According to CMS data, Kalpesh Patel is affiliated with Cgh Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpesh Patel was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.