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NIJAL PATEL M.D.
NPI 1649412370
Internal Medicine in Joliet, IL

Active since March 26, 2009PECOS EnrolledAccepts Medicare Assignment
333 MADISON ST, JOLIET, IL 60435(815) 725-7133 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, Aug 7, 2018 (2 updates tracked since 2018).

About Nijal Patel M.d. NPPES

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

NIJAL PATEL M.D. (NPI 1649412370) is an individual internal medicine provider in Joliet, Illinois, licensed in Illinois (036133492) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains a secondary practice location in Morris.

NPPES Registry Identity

NPI1649412370
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIJAL PATELCredential: M.D.
Location Address333 MADISON STJoliet, IL 60435
Mailing Address333 Madison StJoliet, IL 60435-8200 · (847) 922-3245
Phone(815) 725-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 26, 2009
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1649412370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036133492✔ Licensed in WI · 55848-20
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
333 MADISON ST, Joliet, IL 60435
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Secondary Practice Location 1

Location 1150 W High StMorris, IL 60450-1497 · Phone (815) 942-2932 · Fax (815) 941-4363

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Nijal Patel M.d. 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 ID5395901680
PECOS Enrollment IDI20130823000436
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

5

Medicare enrollment records show Nijal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Medical Group
Same address
Hospitalist
333 MADISON ST
Joliet, IL 60435
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1083542013 (815) 725-7133
Des Plaines Physician Services, P.C.
Same address
Internal Medicine
333 MADISON ST
Joliet, IL 60435
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Des Plaines Physician Services PC
  • 21 clinicians in this Medicare group
NPI 1164284055 (815) 725-7133
Morris Hospital
8.1 mi
General Practice
25259 S REED ST
Channahon, IL 60410
  • Reassigned Medicare billing, Illinois enrollment
  • 207 clinicians in this Medicare group
NPI 1275648511 (815) 467-0555
Kane Physician Services, P.C.
20 mi
Internal Medicine
1325 N HIGHLAND AVE
Aurora, IL 60506
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Kane Physician Services PC
  • 33 clinicians in this Medicare group
NPI 1598527483 (630) 859-2222
Prime Healthcare Illinois Medical Group LLC
38 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464

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 4

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 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.
488 services152 patients
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.
256 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
152 services143 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.
118 services105 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$14.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$63.93 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 20

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

DR. CHRISTOPHER D. BERG DO
Emergency Medicine
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7133
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Psychiatric Unit
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7133
KRISTIN UPP PTA
Physical Therapy Assistant
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7133
DR. MENAR WAHOOD DO
Orthopaedic Surgery (Hand Surgery)
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7133
PETER P TOMAS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7222
JOSEPH J NATARELLI D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7222
MATTHEW NITSCHE MD
Emergency Medicine
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-7133
DR. SHILPA THAKKAR MD
Anesthesiology
333 MADISON ST
JOLIET, IL 60435
Will County (815) 725-6331

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 Nijal Patel's NPI number?

The NPI number for Nijal Patel is 1649412370. It was assigned to this individual provider in the NPPES registry on March 26, 2009.

Where is Nijal Patel located?

Nijal Patel practices at 333 Madison St, Joliet, IL 60435. The listed phone number is (815) 725-7133.

What is Nijal Patel's specialty?

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

Is Nijal Patel enrolled in Medicare?

Yes. Nijal 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 Nijal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nijal Patel reassigns Medicare benefits to 5 organizations: Legacy Medical Group (Joliet, IL), Des Plaines Physician Services, P.C. (Joliet, IL), Morris Hospital (Channahon, IL), Kane Physician Services, P.C. (Aurora, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Nijal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nijal Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nijal 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 Nijal Patel affiliated with any hospitals?

According to CMS data, Nijal Patel is affiliated with Presence Saint Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Nijal Patel was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.