DR. HIRALBEN KALPESH PATEL OD
NPI 1598492910
Optometrist in Oak Lawn, IL
About Dr. Hiralben Kalpesh Patel Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HIRALBEN KALPESH PATEL OD (NPI 1598492910) is an individual optometrist in Oak Lawn, Illinois, licensed in Illinois (046011668) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in River Forest, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Hiralben Kalpesh Patel Od 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.
Medicare Billing Reassignments
6Medicare enrollment records show Hiralben Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- 23 clinicians in this Medicare group
Chicago, IL 60640
- Reassigned Medicare billing, Illinois enrollment
- 20 clinicians in this Medicare group
Niles, IL 60714
- Reassigned Medicare billing, Illinois enrollment
- 108 clinicians in this Medicare group
Edwardsville, IL 62025
- Reassigned Medicare billing, Illinois enrollment
- 127 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 15 clinicians in this Medicare group
Solon, OH 44139
- Reassigned Medicare billing, Ohio enrollment
- 144 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Hiralben Patel's NPI number?
The NPI number for Hiralben Patel is 1598492910. It was assigned to this individual provider in the NPPES registry on August 5, 2022.
Where is Hiralben Patel located?
Hiralben Patel practices at 6201 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 626-9393.
What is Hiralben Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Hiralben Patel enrolled in Medicare?
Yes. Hiralben 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 Hiralben Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiralben Patel reassigns Medicare benefits to 6 organizations: Family Eye Physicians, Ltd (Oak Lawn, IL), Aea Eye Care LLC (Chicago, IL), Visionworks, Inc. (Niles, IL), Christina J. Levi O D P C (Edwardsville, IL), Granite City Vision, Inc. (Granite City, IL) and 1 more organization, listed in the Medicare section above. 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 Hiralben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiralben Patel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter from Sunflower Health Plan and 15 other insurers list Hiralben 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 Hiralben Patel was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Hiralben Kalpesh Patel, OD · NPI 1598492910
Optometrist provider in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since August 5, 2022.
## Identity
- **NPI:** 1598492910 (Entity type: Individual)
- **Enumerated:** August 5, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046011668 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6201 W 95TH ST, Oak Lawn, IL 60453-2701
- **Phone:** (708) 626-9393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Family Eye Physicians, Ltd (NPI 1730252230, Oak Lawn, IL); Aea Eye Care LLC (NPI 1386121283, Chicago, IL); Visionworks, Inc. (NPI 1831115906, Niles, IL); Christina J. Levi O D P C (NPI 1477703411, Edwardsville, IL); Granite City Vision, Inc. (NPI 1174756902, Granite City, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1598492910) · Data from the CMS NPPES public registry.