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

PARTH PATEL DO
NPI 1609492354
Internal Medicine in Hoffman Estates, IL

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment
845 N DEXTER LN, HOFFMAN ESTATES, IL 60169(847) 452-6818 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, Sep 19, 2025, Feb 4, 2025 and 3 more (6 updates tracked since 2020).

About Parth Patel Do NPPES

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

PARTH PATEL DO (NPI 1609492354) is an individual internal medicine provider in Hoffman Estates, Illinois, licensed in Illinois (036.167441) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609492354
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePARTH PATELCredential: DO
Location Address845 N DEXTER LNHoffman Estates, IL 60169-2362
Mailing Address845 N Dexter LnHoffman Estates, IL 60169-2362 · (847) 452-6818
Phone(847) 452-6818
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 18, 2020
Last NPPES UpdateSeptember 15, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1609492354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.167441
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
845 N DEXTER LN, Hoffman Estates, IL 60169
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Parth Patel Do 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 ID9739538281
PECOS Enrollment IDI20231211000453, I20250325002851
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

8

Medicare enrollment records show Parth Patel reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Medical Center Of Illinois
120 mi
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522
Carle Health Medical Group
133 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Deaconess Illinois Specialty Clinic, Inc.
239 mi
Orthopaedic Surgery
1201 RICKER RD
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1730896291 (182) 418-7916
St. Mary's Hospital, Centralia, Illinois
249 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056
Sound Physicians Of Illinois, LLC
258 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Good Samaritan Regional Health Center
262 mi
Emergency Medicine
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1487758801 (618) 899-4600
Deaconess Illinois Red Bud Regional Hospital Inc
283 mi
Rural Health
325 SPRING ST
Red Bud, IL 62278
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1619693926 (618) 282-7373
Tucson Physician Group Holdings, LLC
1,427 mi
Interventional Cardiology
395 N SILVERBELL RD STE 355
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 293 clinicians in this Medicare group
NPI 1356726939 (520) 622-5912

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
241 services108 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
114 services109 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60169 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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 Parth Patel's NPI number?

The NPI number for Parth Patel is 1609492354. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Parth Patel located?

Parth Patel practices at 845 N Dexter Ln, Hoffman Estates, IL 60169. The listed phone number is (847) 452-6818.

What is Parth Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Parth Patel enrolled in Medicare?

Yes. Parth 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 Parth Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parth Patel reassigns Medicare benefits to 8 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Carle Health Medical Group (Urbana, IL), Deaconess Illinois Specialty Clinic, Inc. (Salem, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and 3 more organizations, 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 Parth Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parth Patel accept?

Health plans from Imperial Insurance Companies, Inc. list Parth 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 Parth Patel affiliated with any hospitals?

According to CMS data, Parth Patel is affiliated with Good Samaritan Regional Hlth Center and Red Bud Regional Hospital.

When was this NPI record last updated?

The NPPES record for Parth Patel was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.