MR. RASHMI C PATEL MD
NPI 1376655571
Family Medicine in Mount Prospect, IL

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
2380 S ELMHURST RD, MOUNT PROSPECT, IL 60056(472) 285-5578(472) 286-5268 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2026, Dec 21, 2025, Aug 14, 2021 and 1 more (4 updates tracked since 2017).

About Mr. Rashmi C Patel Md NPPES

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

MR. RASHMI C PATEL MD (NPI 1376655571) is an individual family medicine provider in Mount Prospect, Illinois, licensed in Illinois (036071361) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Des Plaines.

NPPES Registry Identity

NPI1376655571
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. RASHMI C PATELCredential: MD
Location Address2380 S ELMHURST RDMount Prospect, IL 60056-5805
Mailing Address2380 S Elmhurst RdMt Prospect, IL 60056-5805 · (773) 538-6900 · Fax (773) 538-6963
Fax(472) 286-5268
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1376655571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036071361
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2380 S ELMHURST RD, Mount Prospect, IL 60056

Secondary Practice Location 1

Location 11101 Elmhurst RdDes Plaines, IL 60016-5608 · Phone (847) 228-5557

Other Identifiers 1

Medicaid036071361IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rashmi C Patel Md 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 ID7911051776
PECOS Enrollment IDI20260205001440
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 Rashmi Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
625 E PERSHING RD
Chicago, IL 60653
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group

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

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.

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.
107 services37 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.
23 services12 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 60056 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims35 services$6.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
2380 S ELMHURST RD
MOUNT PROSPECT, IL 60056
Dentist
2380 S ELMHURST RD
MOUNT PROSPECT, IL 60056
Dentist (General Practice)
2380 S ELMHURST RD
MOUNT PROSPECT, IL 60056
Dentist
2380 S ELMHURST RD, SUITE 100
MT PROSPECT, IL 60056
Nurse Practitioner (Family)
2380 S ELMHURST RD
MOUNT PROSPECT, IL 60056
Internal Medicine
2380 S ELMHURST RD
MOUNT PROSPECT, IL 60056

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 Rashmi Patel's NPI number?

The NPI number for Rashmi Patel is 1376655571. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Rashmi Patel located?

Rashmi Patel practices at 2380 S Elmhurst Rd, Mount Prospect, IL 60056. The listed phone number is (472) 285-5578.

What is Rashmi Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rashmi Patel enrolled in Medicare?

Yes. Rashmi 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.

Which organization bills Medicare for Rashmi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rashmi Patel reassigns Medicare benefits to Rashmi Patel MD Sc (Chicago, 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 Rashmi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rashmi Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Rashmi 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 Rashmi Patel affiliated with any hospitals?

According to CMS data, Rashmi Patel is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Rashmi Patel was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.