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ROMA PATEL APN
NPI 1639760481
Nurse Practitioner in Elgin, IL

Active since February 02, 2021PECOS EnrolledAccepts Medicare Assignment
1435 N RANDALL RD STE 206, ELGIN, IL 60123(847) 888-2320 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2026, Feb 2, 2021 (2 updates tracked since 2021).

About Roma Patel Apn NPPES

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

ROMA PATEL APN (NPI 1639760481) is an individual nurse practitioner in Elgin, Illinois, licensed in Illinois (209-022759) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639760481
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROMA PATELCredential: APN
Location Address1435 N RANDALL RD STE 206Elgin, IL 60123-2303
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(847) 888-2320
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1639760481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-022759
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1435 N RANDALL RD STE 206, Elgin, IL 60123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Roma Patel Apn 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 ID5496141277
PECOS Enrollment IDI20220404001218
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 Roma Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiac Arrhythmia Services Ltd
0.2 mi
Clinical Cardiac Electrophysiology
1435 N RANDALL RD, SUITE 206
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1770504987 (847) 429-8988
Dupage Medical Group Ltd
23 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 184 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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 2

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

BOGDAN TARAU FNP-BC
Nurse Practitioner (Family)
1435 N RANDALL RD STE 206
ELGIN, IL 60123
Kane County (847) 429-3988
PRADEEP MAHESHWARI I M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1435 N RANDALL RD STE 206
ELGIN, IL 60123
Kane County (847) 888-2320

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 Roma Patel's NPI number?

The NPI number for Roma Patel is 1639760481. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Roma Patel located?

Roma Patel practices at 1435 N Randall Rd Ste 206, Elgin, IL 60123. The listed phone number is (847) 888-2320.

What is Roma Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Roma Patel enrolled in Medicare?

Yes. Roma 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 Roma Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roma Patel reassigns Medicare benefits to 2 organizations: Cardiac Arrhythmia Services Ltd (Elgin, IL) and Dupage Medical Group Ltd (Downers Grove, 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 Roma Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roma Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Roma 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 Roma Patel affiliated with any hospitals?

According to CMS data, Roma Patel is affiliated with Advocate Sherman Hospital.

When was this NPI record last updated?

The NPPES record for Roma Patel was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.