Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SEJAL PATEL M.D.
NPI 1457663320
Family Medicine in Chicago, IL

Q: What is Sejal Patel's NPI number?

The NPI number for Sejal Patel is 1457663320. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Q: What is Sejal 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 Sejal Patel was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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 08, 2010PECOS Enrolled

3525 S MICHIGAN AVE, CHICAGO, IL 60653(312) 945-4040(312) 945-4011 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Aug 14, 2026, Jun 12, 2024 (3 updates tracked since 2024).

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About Dr. Sejal Patel M.d. NPPES

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

DR. SEJAL PATEL M.D. (NPI 1457663320) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.058876) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1457663320

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SEJAL PATELCredential: M.D.

Location Address3525 S MICHIGAN AVEChicago, IL 60653-1019

Mailing Address3525 S Michigan AveChicago, IL 60653-1019 · (312) 945-4040 · Fax (312) 945-4011

Phone(312) 945-4040

Fax(312) 945-4011

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 8, 2010

Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1457663320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 125.058876✔ Licensed in WI · 15347-320

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 15347-320 (WI)

3525 S MICHIGAN AVE, Chicago, IL 60653

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Secondary Practice Locations 2

Location 1207 Gateway DrWinchester, VA 22603-5835 · Phone (540) 535-1029

Location 2515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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. Sejal 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 ID8022231612

PECOS Enrollment IDI20140529001378

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 9

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.

170 services160 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.

136 services134 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.

83 services83 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

44 services44 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

34 services17 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60653 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.

Other Providers at the Same Location NPPES 9

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

ABINA GONCALVES M.D.

Family Medicine

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (312) 945-4010

COOK COUNTY

Family Medicine

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (312) 945-4010

DR. JULITA MARIE MCPHERSON M.D.

Family Medicine

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (312) 945-4010

COOK COUNTY

Clinic/Center (Primary Care)

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (312) 945-4010

MISS WHITNEY NICOLE LYN MD

Family Medicine

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (312) 945-4040

DR. PIL BIN IM M.D.

Family Medicine

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (312) 945-4010

MS. SHARON MATLOCK APN CNM

Advanced Practice Midwife

3525 S MICHIGAN AVE, NEAR SOUTH HEALTH CENTER
CHICAGO, IL 60653

Cook County (312) 945-4048

DR. LILLIAN NG DO

Family Medicine

3525 S MICHIGAN AVE
CHICAGO, IL 60653

Cook County (415) 518-2663

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 1457663320. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Sejal Patel located?

Sejal Patel practices at 3525 S Michigan Ave, Chicago, IL 60653. The listed phone number is (312) 945-4040.

What is Sejal Patel's specialty?

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

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.

What insurance does Sejal Patel accept?

Health plans from AvMed 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.

When was this NPI record last updated?

The NPPES record for Sejal Patel was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.