DR. AJAY JITENDRA PATEL M.D.
NPI 1396901088
Pathology - Anatomic Pathology & Clinical Pathology in Winfield, IL

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
92.85/100
CMS Quality Rating
25 N WINFIELD RD, WINFIELD, IL 60190(630) 933-2636 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ajay Jitendra Patel M.d. NPPES

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

DR. AJAY JITENDRA PATEL M.D. (NPI 1396901088) is an individual anatomic pathology & clinical pathology provider in Winfield, Illinois, licensed in Illinois (036.127619) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Rush Medical College Of Rush University (2006).

NPPES Registry Identity

NPI1396901088
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. AJAY JITENDRA PATELCredential: M.D.
Location Address25 N WINFIELD RDWinfield, IL 60190-1379
Mailing Address25 N Winfield RdWinfield, IL 60190-1379
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2006
Enumeration DateAugust 1, 2008
Last NPPES UpdateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
NPI 1396901088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in IL · 036.127619 Licensed in RI · MD13252
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
25 N WINFIELD RD, Winfield, IL 60190

Accepted 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

Dr. Ajay Jitendra 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 ID3870762610
PECOS Enrollment IDI20110811000388
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 21

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
824 services421 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
353 services318 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
328 services88 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
242 services213 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
150 services77 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
150 services121 patients

Hospital Affiliations CMS Care Compare 5

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

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

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 Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook 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 60190 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.71
Improvement Activities40

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.

Surgery (Vascular Surgery)
25 N WINFIELD RD, SUITE 201
WINFIELD, IL 60190
Nurse Practitioner
25 N WINFIELD RD
WINFIELD, IL 60190
Speech-Language Pathologist
25 N WINFIELD RD
WINFIELD, IL 60190
Internal Medicine (Pulmonary Disease)
25 N WINFIELD RD
WINFIELD, IL 60190
Obstetrics & Gynecology
25 N WINFIELD RD
WINFIELD, IL 60190
Anesthesiology
25 N WINFIELD RD
WINFIELD, IL 60190
Otolaryngology
25 N WINFIELD RD
WINFIELD, IL 60190
Nurse Practitioner (Family)
25 N WINFIELD RD
WINFIELD, IL 60190

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 Ajay Patel's NPI number?

The NPI number for Ajay Patel is 1396901088. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Ajay Patel located?

Ajay Patel practices at 25 N Winfield Rd, Winfield, IL 60190. The listed phone number is (630) 933-2636.

What is Ajay Patel's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ajay Patel enrolled in Medicare?

Yes. Ajay 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 Ajay Patel accept?

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

According to CMS data, Ajay Patel is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital, Northwestern Memorial Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Patel was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.