DR. KRISHNA B PATEL MD
NPI 1477972412
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Wheaton, IL

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
2015 N MAIN ST, WHEATON, IL 60187(630) 668-8250(630) 668-9561 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2020, Jul 19, 2018, Jun 22, 2018 (3 updates tracked since 2018).

About Dr. Krishna B Patel Md NPPES

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

DR. KRISHNA B PATEL MD (NPI 1477972412) is an individual ophthalmic plastic and reconstructive surgery provider in Wheaton, Illinois, licensed in Illinois (036143831) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2014).

NPPES Registry Identity

NPI1477972412
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDR. KRISHNA B PATELCredential: MD
Location Address2015 N MAIN STWheaton, IL 60187-3190
Mailing Address2015 N Main StWheaton, IL 60187-3190 · (630) 668-8250 · Fax (630) 668-9561
Fax(630) 668-9561
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1477972412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in IL · 036143831
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 036143831 (IL)
2015 N MAIN ST, Wheaton, IL 60187

Other Identifiers 1

Medicaid036-143831IL

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. Krishna B 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 ID2466750229
PECOS Enrollment IDI20201124003325
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 17

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
450 services374 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.
290 services257 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
214 services43 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.
90 services90 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
75 services75 patients
Injection into skin growth, 1-7 growths 11900
This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
51 services43 patients

Hospital Affiliations CMS Care Compare 2

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

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 60187 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

Ophthalmology (Retina Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Optometrist
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology (Glaucoma Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology (Glaucoma Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187

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 Krishna Patel's NPI number?

The NPI number for Krishna Patel is 1477972412. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Krishna Patel located?

Krishna Patel practices at 2015 N Main St, Wheaton, IL 60187. The listed phone number is (630) 668-8250.

What is Krishna Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Krishna Patel enrolled in Medicare?

Yes. Krishna 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 Krishna Patel accept?

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

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

When was this NPI record last updated?

The NPPES record for Krishna Patel was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.