NIKETA A PATEL D.O.
NPI 1427498732
Family Medicine in Chicago, IL

Q: What is Niketa Patel's NPI number?

The NPI number for Niketa Patel is 1427498732. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Q: What is Niketa Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Niketa Patel was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment

3600 W. FULLERTON AVENUE, CHICAGO, IL 60647(773) 782-2800(773) 782-5042 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Niketa A Patel D.o. NPPES

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

NIKETA A PATEL D.O. (NPI 1427498732) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036139912) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427498732

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNIKETA A PATELCredential: D.O.

Location Address3600 W. FULLERTON AVENUEChicago, IL 60647

Mailing Address3600 W Fullerton AvenueChicago, IL 60647 · (773) 782-2800 · Fax (773) 782-5042

Phone(773) 782-2800

Fax(773) 782-5042

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 1, 2013

Last NPPES UpdateAugust 26, 2016

✔ NPI 1427498732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036139912✔ Licensed in IL · 125062694

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.

3600 W. FULLERTON AVENUE, Chicago, IL 60647

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Niketa A Patel D.o. 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 ID2860740677

PECOS Enrollment IDI20180809004604

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 Reassignments

Medicare enrollment records show Niketa Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Center

4.3 mi

Diagnostic Radiology

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush University Medical Group
2,169 clinicians in this Medicare group

NPI 1184269425 (312) 563-4270

Rush Oak Park Physicians Group Lake Street

5.0 mi

Internal Medicine

1011 LAKE ST, SUITE 300
Oak Park, IL 60301

Reassigned Medicare billing, Illinois enrollment
7 clinicians in this Medicare group

NPI 1841531456 (708) 628-0600

Rush Oak Park ER Physicians Group

5.5 mi

Emergency Medical Services

520 S MAPLE AVE, EMERGENCY DEPARTMENT
Oak Park, IL 60304

Reassigned Medicare billing, Illinois enrollment
124 clinicians in this Medicare group

NPI 1447260880 (708) 660-5995

Rush Oak Park Physicians Group Anchor

5.5 mi

Family Medicine

610 S MAPLE AVE, SUITE 3900
Oak Park, IL 60304

Reassigned Medicare billing, Illinois enrollment
16 clinicians in this Medicare group

NPI 1396018453 (708) 524-1674

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 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.

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.

218 services126 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

69 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

67 services67 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

66 services57 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

50 services29 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

34 services13 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

34 services34 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

27 services26 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

24 services24 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

14 services14 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140063

Location520 S Maple AveOak Park, IL 60304 · Cook County

Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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 2

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

8 suppliers19 claims48 services$5.79 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims806 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Niketa Patel's NPI number?

The NPI number for Niketa Patel is 1427498732. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Niketa Patel located?

Niketa Patel practices at 3600 W. Fullerton Avenue, Chicago, IL 60647. The listed phone number is (773) 782-2800.

What is Niketa Patel's specialty?

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

Is Niketa Patel enrolled in Medicare?

Yes. Niketa 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 organizations bill Medicare for Niketa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niketa Patel reassigns Medicare benefits to 4 organizations: Rush University Medical Center (Chicago, IL), Rush Oak Park Physicians Group Lake Street (Oak Park, IL), Rush Oak Park ER Physicians Group (Oak Park, IL) and Rush Oak Park Physicians Group Anchor (Oak Park, IL). Each 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 Niketa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niketa Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Niketa 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 Niketa Patel affiliated with any hospitals?

According to CMS data, Niketa Patel is affiliated with Rush Oak Park Hospital, Rush University Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Niketa Patel was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.