HIRAL HIREN PATEL
NPI 1619553856
Nurse Practitioner - Family in Lombard, IL

Active since March 18, 2021PECOS EnrolledAccepts Medicare Assignment
2500 S HIGHLAND AVE STE 230, LOMBARD, IL 60148(630) 429-9000 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2022, Mar 18, 2021 (2 updates tracked since 2021).

About Hiral Hiren Patel NPPES

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

HIRAL HIREN PATEL (NPI 1619553856) is an individual family provider in Lombard, Illinois, licensed in Illinois (F03210773) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619553856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHIRAL HIREN PATEL
Location Address2500 S HIGHLAND AVE STE 230Lombard, IL 60148-7103
Mailing Address2500 S Highland Ave Ste 230Lombard, IL 60148-7103 · (630) 429-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 18, 2021
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 15, 2021
NPI 1619553856 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 · F03210773
2500 S HIGHLAND AVE STE 230, Lombard, IL 60148

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

Hiral Hiren Patel 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 ID4789083999
PECOS Enrollment IDI20210520000724
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 3

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
440 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
24 services18 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Physician Assistant (Medical)
2500 S HIGHLAND AVE STE 230
LOMBARD, IL 60148
Nurse Practitioner (Family)
2500 S HIGHLAND AVE STE 230
LOMBARD, IL 60148
Internal Medicine
2500 S HIGHLAND AVE STE 230
LOMBARD, IL 60148
Nurse Practitioner (Family)
2500 S HIGHLAND AVE STE 230
LOMBARD, IL 60148

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 Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1619553856. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Hiral Patel located?

Hiral Patel practices at 2500 S Highland Ave Ste 230, Lombard, IL 60148. The listed phone number is (630) 429-9000.

What is Hiral Patel's specialty?

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

Is Hiral Patel enrolled in Medicare?

Yes. Hiral 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.

Is Hiral Patel affiliated with any hospitals?

According to CMS data, Hiral Patel is affiliated with St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.