DR. PRATIBHA B PATEL DPM
NPI 1265693790
Podiatrist - Foot & Ankle Surgery in Waukegan, IL

Q: What is Pratibha Patel's NPI number?

The NPI number for Pratibha Patel is 1265693790. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Q: What is Pratibha Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Pratibha Patel was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2008PECOS Enrolled

3010 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8000 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2023, Apr 13, 2020 (2 updates tracked since 2020).

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About Dr. Pratibha B Patel Dpm NPPES

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

DR. PRATIBHA B PATEL DPM (NPI 1265693790) is an individual foot & ankle surgery provider in Waukegan, Illinois, licensed in Illinois (016.005386) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265693790

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. PRATIBHA B PATELCredential: DPM

Location Address3010 GRAND AVEWaukegan, IL 60085-2321

Mailing Address3333 Green Bay Rd, Hsb L.648North Chicago, IL 60064-3037 · (224) 570-7219

Phone(847) 377-8000

Sole ProprietorNo

Enumeration DateJune 18, 2008

Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1265693790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016.005386

3010 GRAND AVE, Waukegan, IL 60085

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pratibha B Patel Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.