DR. VIMAL PATEL MD
NPI 1639103302
Hospitalist in Chicago, IL

Active since July 10, 2006PECOS Enrolled
97.71/100
CMS Quality Rating
5841 S MARYLAND AVE # MC5000, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2021, Nov 1, 2017 (2 updates tracked since 2017).

About Dr. Vimal Patel Md NPPES

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

DR. VIMAL PATEL MD (NPI 1639103302) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036156297) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639103302
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. VIMAL PATELCredential: MD
Location Address5841 S MARYLAND AVE # MC5000Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
✔ NPI 1639103302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036156297
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME0091694 (FL)
5841 S MARYLAND AVE # MC5000, Chicago, IL 60637

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vimal Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Vimal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 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 2

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.

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.
41 services40 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Hospitalist
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Hospitalist
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Hospitalist
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Hospitalist
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Hospitalist
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637
Physician Assistant (Medical)
5841 S MARYLAND AVE # MC5000
CHICAGO, IL 60637

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 Vimal Patel's NPI number?

The NPI number for Vimal Patel is 1639103302. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Vimal Patel located?

Vimal Patel practices at 5841 S Maryland Ave # Mc5000, Chicago, IL 60637. The listed phone number is (773) 702-1000.

What is Vimal Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vimal Patel enrolled in Medicare?

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

Which organizations bill Medicare for Vimal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vimal Patel reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, 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 Vimal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vimal Patel accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Vimal 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 Vimal Patel was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.