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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Pratibha Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rosalind Franklin University Health System
2.0 mi
Child Abuse Pediatrics
123 N OPLAINE RD
Gurnee, IL 60031
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rosalind Franklin University Health
  • 28 clinicians in this Medicare group
NPI 1851106173 (847) 894-2486

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LINDA METTS
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-7847
MRS. PATRICE LOUISE CAMPBELL
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
MR. RAYMOND BERNARD MCQUEEN CADC
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8296
EVELYN H CHOU NP
Nurse Practitioner (Family)
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8800
SINDY LORENA GUERRA BA
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8321
NYKESHIA SMITH
Counselor (Mental Health)
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JANINE M PALL RN
Registered Nurse
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8122
VERNESSA STEPNEY
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8296

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 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.

Where is Pratibha Patel located?

Pratibha Patel practices at 3010 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8000.

What is Pratibha Patel's specialty?

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

Is Pratibha Patel enrolled in Medicare?

Yes. Pratibha Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pratibha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Patel reassigns Medicare benefits to Rosalind Franklin University Health System (Gurnee, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pratibha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pratibha Patel was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.