SEJAL PATEL
NPI 1396785291
Internal Medicine - Nephrology in Hoffman Estates, IL

Q: What is Sejal Patel's NPI number?

The NPI number for Sejal Patel is 1396785291. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Sejal 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 Sejal Patel was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 June 08, 2006PECOS EnrolledAccepts Medicare Assignment

1585 BARRINGTON RD, DOCTORS BLDG 2 STE 501, HOFFMAN ESTATES, IL 60169(847) 420-5150(312) 654-9930 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2024, Jun 26, 2024, Dec 22, 2021 (3 updates tracked since 2021).

On this page

About Sejal Patel NPPES

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

SEJAL PATEL (NPI 1396785291) is an individual nephrology provider in Hoffman Estates, Illinois, licensed in Illinois (036111450) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396785291

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameSEJAL PATEL

Location Address1585 BARRINGTON RD, DOCTORS BLDG 2 STE 501Hoffman Estates, IL 60169-1090

Mailing Address210 S Desplaines StChicago, IL 60661-5500 · (312) 654-2700 · Fax (312) 654-9930

Phone(847) 420-5150

Fax(312) 654-9930

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 8, 2006

Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1396785291 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 · 036111450

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.

1585 BARRINGTON RD, Hoffman Estates, IL 60169

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Other Identifiers 1

Medicaid036111450IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.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

Sejal Patel 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 ID7416916895

PECOS Enrollment IDI20041011000301

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 Sejal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associates In Nephrology, S.C.

28 mi

Nephrology

210 S DESPLAINES ST
Chicago, IL 60661

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Associates In Nephrology Sc
55 clinicians in this Medicare group

NPI 1184694259 (312) 654-2721

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 10

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.

555 services169 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.

461 services148 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.

173 services148 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.

167 services110 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.

153 services19 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.

145 services101 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60169 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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 20

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

DAVID H. TROTTER MD

Orthopaedic Surgery

1585 BARRINGTON RD, SUITE 101
HOFFMAN ESTATES, IL 60169

Cook County (847) 884-7771

MR. ANGELO MOCA ATC

Specialist/Technologist (Athletic Trainer)

1585 BARRINGTON RD
HOFFMAN ESTATES, IL 60169

Cook County (847) 884-7771

JIGNA PATEL

Physical Therapist

1585 BARRINGTON RD, SUITE # 101
HOFFMAN ESTATES, IL 60169

Cook County (847) 884-7771

K BOEHM DDS & ASSOC PC

Dentist (General Practice)

1585 BARRINGTON RD, STE 106
HOFFMAN ESTATES, IL 60169

Cook County (847) 884-1220

ANNE G SZPINDOR MD PC

Specialist

1585 BARRINGTON RD, SUITE 606
HOFFMAN ESTATES, IL 60169

Cook County (847) 310-8844

JOEL STOLAR M.D.S.C.

Ophthalmology

1585 BARRINGTON RD
HOFFMAN ESTATES, IL 60169

Cook County (847) 843-8684

DR. REENA JABAMONI MD

Obstetrics & Gynecology (Reproductive Endocrinology)

1585 BARRINGTON RD, SUITE 401
HOFFMAN ESTATES, IL 60169

Cook County (847) 843-7090

ALEXANDER PANTOJA TY P.T.

Physical Therapist

1585 BARRINGTON RD, STE 101
HOFFMAN ESTATES, IL 60169

Cook County (847) 884-7771

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 Sejal Patel's NPI number?

The NPI number for Sejal Patel is 1396785291. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Sejal Patel located?

Sejal Patel practices at 1585 Barrington Rd Doctors Bldg 2 Ste 501, Hoffman Estates, IL 60169. The listed phone number is (847) 420-5150.

What is Sejal Patel's specialty?

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

Is Sejal Patel enrolled in Medicare?

Yes. Sejal 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 Sejal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sejal Patel reassigns Medicare benefits to Associates In Nephrology, S.C. (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 Sejal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sejal Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Sejal 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 Sejal Patel affiliated with any hospitals?

According to CMS data, Sejal Patel is affiliated with Northwest Community Hospital 1, Alexian Brothers Medical Center 1, St Alexius Medical Center and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Sejal Patel was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.