HEMI PATEL
NPI 1225638588
Nurse Practitioner - Family in Schaumburg, IL

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment
82.3/100
CMS Quality Rating
1855 W IRVING PARK RD, SCHAUMBURG, IL 60193(630) 893-5570 Get Directions Write a Review

NPPES record last updated: October 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2024, Oct 18, 2021, Oct 6, 2021 and 2 more (5 updates tracked since 2020).

About Hemi Patel NPPES

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

HEMI PATEL (NPI 1225638588) is an individual family provider in Schaumburg, Illinois, licensed in Illinois (1225638588) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225638588
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEMI PATEL
Location Address1855 W IRVING PARK RDSchaumburg, IL 60193-3516
Mailing Address1855 W Irving Park RdSchaumburg, IL 60193-3516 · (630) 893-5570
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 27, 2020
Last NPPES UpdateOctober 12, 20245 updates tracked since enumeration
NPPES CertifiedOctober 12, 2024
NPI 1225638588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 1225638588
1855 W IRVING PARK RD, Schaumburg, IL 60193

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

Hemi Patel 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 ID244647071
PECOS Enrollment IDI20210323002654
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 6

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 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.
52 services43 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.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 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.
18 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60193 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

82.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.7
Improvement Activities40
Cost81.88

Other Providers at the Same Location NPPES 19

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

Pharmacist
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Nurse Practitioner (Family)
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Social Worker (Clinical)
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Counselor (Professional)
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Pharmacist
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Pharmacist
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Pharmacist
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193
Pharmacist
1855 W IRVING PARK RD
SCHAUMBURG, IL 60193

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 Hemi Patel's NPI number?

The NPI number for Hemi Patel is 1225638588. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Hemi Patel located?

Hemi Patel practices at 1855 W Irving Park Rd, Schaumburg, IL 60193. The listed phone number is (630) 893-5570.

What is Hemi Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hemi Patel enrolled in Medicare?

Yes. Hemi 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 Hemi Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Hemi 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.

When was this NPI record last updated?

The NPPES record for Hemi Patel was last updated on October 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.