HETALBEN HEMAL PATEL M.D.
NPI 1295168896
Pediatrics in Palatine, IL

Q: What is Hetalben Patel's NPI number?

The NPI number for Hetalben Patel is 1295168896. It was assigned to this individual provider in the NPPES registry on August 19, 2013. The provider is also known as Hetalben Bhikhubhai Prajapati M.D..

Q: What is Hetalben Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Hetalben Patel was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 19, 2013PECOS EnrolledAccepts Medicare Assignment

770 E DUNDEE RD, PALATINE, IL 60074(608) 364-2200(608) 363-7395 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hetalben Hemal Patel M.d. NPPES

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

HETALBEN HEMAL PATEL M.D. (NPI 1295168896) is an individual pediatrics provider in Palatine, Illinois, licensed in Wisconsin (56959-20) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295168896

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameHETALBEN HEMAL PATELCredential: M.D.

Location Address770 E DUNDEE RDPalatine, IL 60074-2858

Mailing Address1905 E Huebbe Pkwy, Beloit ClinicBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395

Phone(608) 364-2200

Fax(608) 363-7395

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 19, 2013

Last NPPES UpdateMarch 2, 2020

NPPES CertifiedMarch 2, 2020

✔ NPI 1295168896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 56959-20✔ Licensed in IL · 036131159

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

770 E DUNDEE RD, Palatine, IL 60074

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Other Names 1

Former Name (1)Hetalben Bhikhubhai Prajapati M.d.

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 and more.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

Hetalben Hemal 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 ID3476797432

PECOS Enrollment IDI20130913000474

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 2

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.

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.

16 services16 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60074 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.

Other Providers at the Same Location NPPES 5

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

EPIC URGENT CARE PC

Clinic/Center (Urgent Care)