UMESH O PATEL M.D.
NPI 1336334424
Internal Medicine - Nephrology in Crystal Lake, IL

Q: What is Umesh Patel's NPI number?

The NPI number for Umesh Patel is 1336334424. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Q: What is Umesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Umesh Patel was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 11, 2007PECOS EnrolledAccepts Medicare Assignment

390 E CONGRESS PKWY STE C, CRYSTAL LAKE, IL 60014(815) 301-1001(815) 301-1002 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Jan 24, 2023, May 27, 2022 and 3 more (6 updates tracked since 2019).

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About Umesh O Patel M.d. NPPES

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

UMESH O PATEL M.D. (NPI 1336334424) is an individual nephrology provider in Crystal Lake, Illinois, licensed in Illinois (036118710) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1336334424

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameUMESH O PATELCredential: M.D.

Location Address390 E CONGRESS PKWY STE CCrystal Lake, IL 60014-6202

Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000

Phone(815) 301-1001

Fax(815) 301-1002

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2004

Enumeration DateSeptember 11, 2007

Last NPPES UpdateAugust 7, 20256 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1336334424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IL · 036118710

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

390 E CONGRESS PKWY STE C, Crystal Lake, IL 60014

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Secondary Practice Locations 7

Location 1900 S Rand RdLake Zurich, IL 60047-2450 · Phone (815) 301-1001 · Fax (815) 301-1002

Location 21345 Ryan PkwyAlgonquin, IL 60102-4530 · Phone (847) 531-5911 · Fax (847) 531-5922

Location 3269 W Spring StreetSouth Elgin, IL 60177 · Phone (815) 301-1001 · Fax (815) 301-1002

Location 428160 W Northwest Hwy Ste 405Lake Barrington, IL 60010-2318 · Phone (815) 301-1001 · Fax (815) 301-1002

Location 51600 N Randall Rd Ste 135Elgin, IL 60123-7810 · Phone (847) 531-5911 · Fax (847) 531-5922

Location 6910 Greenlee St Unit BMarengo, IL 60152-8200 · Phone (800) 424-6589 · Fax (815) 568-5900

Location 72371 Bowes Rd Ste 100Elgin, IL 60123-5543 · Phone (847) 531-5911 · Fax (847) 531-5922

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

Umesh O 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 ID1153415625

PECOS Enrollment IDI20070915000025

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

836 services323 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.

488 services220 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.

459 services230 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

220 services202 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

150 services28 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

112 services39 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

50 services48 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.

46 services46 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services16 patients

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.

18 services17 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

17 services12 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

12 services11 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140217

Location77 N Airlite StreetElgin, IL 60123 · Kane County

Emergency services

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

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140286

LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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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.

MICHELLE SPARROW FNP-C

Nurse Practitioner (Family)

390 E CONGRESS PKWY STE C
CRYSTAL LAKE, IL 60014

McHenry County (630) 573-5000

BHAVANA MOVVA

Internal Medicine (Nephrology)

390 E CONGRESS PKWY STE C
CRYSTAL LAKE, IL 60014

McHenry County (815) 301-1001

SUMIT BECTOR MD

Internal Medicine (Nephrology)

390 E CONGRESS PKWY STE C
CRYSTAL LAKE, IL 60014

McHenry County (815) 301-1001

REBECCA SULLIVAN NP

Nurse Practitioner (Family)

390 E CONGRESS PKWY STE C
CRYSTAL LAKE, IL 60014

McHenry County (815) 301-1001

AMIT ARORA M.D.

Internal Medicine (Nephrology)

390 E CONGRESS PKWY STE C, NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
CRYSTAL LAKE, IL 60014

McHenry County (815) 301-1001

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 Umesh Patel's NPI number?

The NPI number for Umesh Patel is 1336334424. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Umesh Patel located?

Umesh Patel practices at 390 E Congress Pkwy Ste C, Crystal Lake, IL 60014. The listed phone number is (815) 301-1001.

What is Umesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Umesh Patel enrolled in Medicare?

Yes. Umesh 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 Umesh Patel accept?

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

According to CMS data, Umesh Patel is affiliated with Advocate Sherman Hospital, Northwestern Medicine Mchenry, Presence Saint Joseph Hospital - Elgin, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Umesh Patel was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.