PHALGUNI PATEL D.D.S
NPI 1356551154
Dentist - General Practice in Chicago, IL
NPI Status: Active since May 23, 2007
Contact Information
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 871-1461
- Individual
- Female
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About PHALGUNI PATEL
This page provides the complete NPI Profile along with additional information for Phalguni Patel, a provider established in Chicago, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1356551154 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1356551154
- Provider Name
- PHALGUNI PATEL D.D.S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 811 W WELLINGTON AVE CHICAGO, IL 60657
- Location Phone
- (773) 871-1461
- Mailing Address
- 856 W NELSON ST APT # 803 CHICAGO, IL 60657
- Mailing Phone
- (773) 477-7078
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-23-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Phalguni Patel is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License State
- IL
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Delta Dental Individual Basic Plan - EPO
- Delta Dental Individual Kids Basic Plan - EPO
- Delta Dental Individual Kids Preferred Plan - EPO
- Delta Dental Individual Preferred Plan - EPO
- Delta Dental Individual Preventive Plan - PPO
- Delta Dental Individual Primary Plan - PPO
- Choice PPO Basic - PPO
- Choice PPO Basic Kids - PPO
- Choice PPO Plus - PPO
- Choice PPO Premium - PPO
- Choice PPO Premium Kids - PPO
- Choice PPO Preventive - PPO
- Guardian Basics for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Phalguni Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60657 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.8
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $18.7
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for PHALGUNI PATEL D.D.S
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 5 | 1 | 1 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 5 | 2 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 2 + 1 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1356551154 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. CHARLES S GREENE DDS
Dentist
(General Practice)
811 W WELLINGTON AVE
DEPT OF DENTISTRY - AIMMC
CHICAGO, IL
ZIP 60657
DR. HARVEY ALAN WIGDOR D.D.S.
Dentist
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. HOWARD S JEON DMD
Dentist
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. AMY R MARTIN DDS
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. CHRISTOPHER MORIN DDS
Dentist
(Pediatric Dentistry)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
REEM SABBAGH D.D.S.
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. KATIE HUNT BRIDGES DMD
Dentist
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. KATIE ROSE GOESEL DDS
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. SANJEET RAJ SINGH PARMAR D.D.S.
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. JENNIFER SARA SCHEAR D.M.D
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
AMY MARTIN DDS PC
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. SAMIA LIN A. M. RAGEB D.D.S.
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. BRIAN JOSEPH WALCZAK D.D.S.
Dentist
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. ANDREW WAYNE OLSEN D.D.S
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
KINNERY AJIT PATEL D.D.S.
Dentist
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. WILLIAM P MADISON D.D.S.
Dentist
811 W WELLINGTON AVE
DEPARTMENT OF DENTISTRY
CHICAGO, IL
ZIP 60657
DR. KATIE ELIZABETH LIMARDI D.D.S.
Dentist
811 W WELLINGTON AVE
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
CHICAGO, IL
ZIP 60657
DR. CATHARINE MARGARET KENNEDY D.D.S
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
DR. ANETA M LACEK D.D.S.
Dentist
(General Practice)
811 W WELLINGTON AVE
DEPARTMENT OF DENTISTRY
CHICAGO, IL
ZIP 60657
DR. BRANDON P.L. GRAY D.D.S.
Dentist
(General Practice)
811 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356551154, enumerated as an "individual" on May 23, 2007.
The provider is located at 811 W WELLINGTON AVE CHICAGO, IL 60657 and the phone number is (773) 871-1461.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
