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SIDDHI J PATEL
NPI 1578499430
Nurse Practitioner - Family in Hazel Crest, IL

Active since June 19, 2026PECOS Enrolled
17465 KEDZIE AVE, HAZEL CREST, IL 60429(708) 887-7329(708) 907-0771 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Siddhi J Patel NPPES

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

SIDDHI J PATEL (NPI 1578499430) is an individual family provider in Hazel Crest, Illinois, licensed in Illinois (209033790) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1578499430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIDDHI J PATEL
Location Address17465 KEDZIE AVEHazel Crest, IL 60429-1632
Mailing Address17465 Kedzie AveHazel Crest, IL 60429-1632 · (708) 887-7329 · Fax (708) 907-0771
Phone(708) 887-7329
Fax(708) 907-0771
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1578499430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209033790
17465 KEDZIE AVE, Hazel Crest, IL 60429
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siddhi J Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234602418
PECOS Enrollment IDI20260629002517
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

3

Medicare enrollment records show Siddhi Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avid Primary Care LLC
Same address
Geriatric Medicine
17465 KEDZIE AVE
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1295522688 (708) 887-7329
Avid Urgent Care LLC
Same address
Urgent Care
17465 KEDZIE AVE
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1669269635 (708) 887-7329
Epic Med LLC
Same address
Geriatric Medicine
17465 KEDZIE AVE
Hazel Crest, IL 60429
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1174415376 (708) 887-7329

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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 4

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

AVID CARE DEVICES LLC
Family Medicine (Geriatric Medicine)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 953-9527
EPIC MED LLC
Family Medicine (Geriatric Medicine)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 887-7329
AVID PRIMARY CARE LLC
Family Medicine (Geriatric Medicine)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 887-7329
AVID URGENT CARE LLC
Clinic/Center (Urgent Care)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 887-7329

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 Siddhi Patel's NPI number?

The NPI number for Siddhi Patel is 1578499430. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Siddhi Patel located?

Siddhi Patel practices at 17465 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 887-7329.

What is Siddhi Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Siddhi Patel enrolled in Medicare?

Yes. Siddhi Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Siddhi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siddhi Patel reassigns Medicare benefits to 3 organizations: Avid Primary Care LLC (Hazel Crest, IL), Avid Urgent Care LLC (Hazel Crest, IL) and Epic Med LLC (Hazel Crest, 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 Siddhi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Siddhi Patel was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.