DR. ALPESH ASHWIN PATEL MD
NPI 1639192164
Orthopaedic Surgery in Chicago, IL

Q: What is Alpesh Patel's NPI number?

The NPI number for Alpesh Patel is 1639192164. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Alpesh Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Alpesh Patel was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

675 N. ST. CLAIR, GALTER PAVILION 17-100, CHICAGO, IL 60611(312) 695-6800(312) 695-2772 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alpesh Ashwin Patel Md NPPES

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

DR. ALPESH ASHWIN PATEL MD (NPI 1639192164) is an individual orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (036.128125) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Northwestern University Feinberg Medical School (2000).

NPPES Registry Identity

NPI1639192164

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. ALPESH ASHWIN PATELCredential: MD

Location Address675 N. ST. CLAIR, GALTER PAVILION 17-100Chicago, IL 60611

Mailing Address676 N. St. Clair Suite 1350, Northwestern Medical Faculty FoundationChicago, IL 60611 · (312) 695-6800 · Fax (312) 695-2772

Phone(312) 695-6800

Fax(312) 695-2772

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2000

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 7, 2013

✔ NPI 1639192164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in IL · 036.128125✔ Licensed in PA · MT185463

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

675 N. ST. CLAIR, Chicago, IL 60611

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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

Dr. Alpesh Ashwin Patel Md 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 ID9830196534

PECOS Enrollment IDI20110811000677

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 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services85 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

54 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services49 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

45 services31 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

45 services34 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

41 services29 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

29 services18 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

25 services14 patients

Incision or removal of spine bone segment, each additional segment 22216

This procedure involves making an incision to remove a portion of the spine bone, often to alleviate pressure or pain. If more segments need to be removed, the process is repeated for each additional segment. This is done under general anesthesia.

21 services14 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

16 services13 patients

Incision or removal of lower spine bone segment 22214

This procedure involves making a small incision in the lower back to access the spine. A segment of bone may be removed to relieve pressure on nerves, improve mobility, or treat conditions like herniated discs or spinal stenosis. Recovery varies, but physical therapy may follow.

15 services15 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

14 services14 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

14 services14 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

13 services13 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

13 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631

DME-Orthotic Devices · category DF007N

1 supplier16 claims16 services$847.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. NISHANT VERMA MD, MPH

Internal Medicine (Clinical Cardiac Electrophysiology)

675 N. ST. CLAIR, GALTER 19-100
CHICAGO, IL 60611

Cook County (312) 695-4965

MRS. NICOLE HENRY CREPPEL MD

Otolaryngology

675 N. ST. CLAIR, GALTER PAVILION, 15TH FLOOR, ROOM 200
CHICAGO, IL 60611

Cook County (312) 695-8182

MATTHEW J OBRIEN MD

Internal Medicine

675 N. ST. CLAIR, SUITE 18-200
CHICAGO, IL 60611

Cook County (312) 695-8630

JANICE C KNUCKEY NP

Nurse Practitioner (Adult Health)

675 N. ST. CLAIR, SUITE 19-100
CHICAGO, IL 60611

Cook County (312) 695-4965

MALGORZATA TERESA BATKO

Social Worker

675 N. ST. CLAIR, GALTER PAVILION 13-141
CHICAGO, IL 60611

Cook County (312) 694-1900

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 Alpesh Patel's NPI number?

The NPI number for Alpesh Patel is 1639192164. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Alpesh Patel located?

Alpesh Patel practices at 675 N. St. Clair Galter Pavilion 17-100, Chicago, IL 60611. The listed phone number is (312) 695-6800.

What is Alpesh Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Alpesh Patel enrolled in Medicare?

Yes. Alpesh 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 Alpesh Patel affiliated with any hospitals?

According to CMS data, Alpesh Patel is affiliated with Palos Community Hospital, Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alpesh Patel was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.