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NIMISHA PATEL M.D.
NPI 1265698914
Psychiatry & Neurology - Psychiatry in Evergreen Park, IL

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
2850 W 95TH ST, SUITE 204, EVERGREEN PARK, IL 60805(708) 424-5100(708) 229-6080 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nimisha Patel M.d. NPPES

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

NIMISHA PATEL M.D. (NPI 1265698914) is an individual psychiatry provider in Evergreen Park, Illinois, licensed in Illinois (036128701) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265698914
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameNIMISHA PATELCredential: M.D.
Location Address2850 W 95TH ST, SUITE 204Evergreen Park, IL 60805-2735
Mailing Address2850 W 95th St, Suite 204Evergreen Park, IL 60805-2735 · (708) 424-5100 · Fax (708) 229-6080
Phone(708) 424-5100
Fax(708) 229-6080
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 1, 2008
Last NPPES UpdateJune 19, 2014
✔ NPI 1265698914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036128701✔ Licensed in IL · 125-053679
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2850 W 95TH ST, Evergreen Park, IL 60805
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Other Identifiers 1

Medicare PIN729903015IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Nimisha 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 ID3870765522
PECOS Enrollment IDI20111003000110
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 3

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 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.
88 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
46 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services25 patients

Hospital Affiliations CMS Care Compare

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
19%67 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,165 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 257 patients
Patients tobacco: 99% · 252 patients
93%29 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. DIANE L O'CONNOR RNFA
Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 952-1030
STANLEY A POLIT MD, SC
Internal Medicine (Gastroenterology)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Cook County (708) 424-9044
MAHAFZAH MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Cook County (708) 422-1222
DOLORES DIXON-GREVIOUS MD
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Cook County (708) 389-2200
DR. BASEL I AL-ASWAD MD
Orthopaedic Surgery
2850 W 95TH ST, SUITE 406
EVERGREEN PARK, IL 60805
Cook County (708) 499-4844
RAJNEESH SALWAN MD SC
Internal Medicine
2850 W 95TH ST, 304
EVERGREEN PARK, IL 60805
Cook County (708) 636-2770
AHK SURGICAL S.C.
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 636-4116
CYNTHIA D MORRIS APRN, CNP
Nurse Practitioner (Family)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 229-5065

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 Nimisha Patel's NPI number?

The NPI number for Nimisha Patel is 1265698914. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Nimisha Patel located?

Nimisha Patel practices at 2850 W 95th St Suite 204, Evergreen Park, IL 60805. The listed phone number is (708) 424-5100.

What is Nimisha Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nimisha Patel enrolled in Medicare?

Yes. Nimisha 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 Nimisha Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nimisha 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 Nimisha Patel affiliated with any hospitals?

According to CMS data, Nimisha Patel is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Nimisha Patel was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.