PAYAL PATEL MD
NPI 1497339162
Family Medicine in Kankakee, IL

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
375 N WALL ST STE P310, KANKAKEE, IL 60901(815) 933-0194(815) 936-3847 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, May 10, 2021 (2 updates tracked since 2021).

About Payal Patel Md NPPES

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

PAYAL PATEL MD (NPI 1497339162) is an individual family medicine provider in Kankakee, Illinois, licensed in Illinois (125077796) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2021).

NPPES Registry Identity

NPI1497339162
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePAYAL PATELCredential: MD
Location Address375 N WALL ST STE P310Kankakee, IL 60901-3484
Mailing Address375 N Wall St Ste P310Kankakee, IL 60901-3484 · (815) 933-0194 · Fax (815) 936-3847
Fax(815) 936-3847
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2021
Enumeration DateMay 10, 2021
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1497339162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125077796
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.
375 N WALL ST STE P310, Kankakee, IL 60901

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

Payal 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 ID4082011861
PECOS Enrollment IDI20240820000575
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

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 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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 5

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

Nurse Practitioner (Family)
375 N WALL ST STE P310
KANKAKEE, IL 60901
Family Medicine
375 N WALL ST STE P310
KANKAKEE, IL 60901
Family Medicine
375 N WALL ST STE P310
KANKAKEE, IL 60901
Family Medicine
375 N WALL ST STE P310
KANKAKEE, IL 60901
Pediatrics
375 N WALL ST STE P310
KANKAKEE, IL 60901

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 Payal Patel's NPI number?

The NPI number for Payal Patel is 1497339162. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Payal Patel located?

Payal Patel practices at 375 N Wall St Ste P310, Kankakee, IL 60901. The listed phone number is (815) 933-0194.

What is Payal Patel's specialty?

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

Is Payal Patel enrolled in Medicare?

Yes. Payal 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 Payal Patel accept?

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

According to CMS data, Payal Patel is affiliated with Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on September 11, 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.