PRIYA I PATEL DO
NPI 1649890872
Family Medicine in Lagrange, IL

Q: What is Priya Patel's NPI number?

The NPI number for Priya Patel is 1649890872. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Q: What is Priya Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 17, 2020PECOS Enrolled

5201 WILLOW SPRINGS RD, SUITE 300, LAGRANGE, IL 60525(708) 482-8088(708) 482-9034 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, Jun 22, 2023, May 6, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Priya I Patel Do NPPES

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

PRIYA I PATEL DO (NPI 1649890872) is an individual family medicine provider in Lagrange, Illinois, licensed in Illinois (036163444) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649890872

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePRIYA I PATELCredential: DO

Location Address5201 WILLOW SPRINGS RD, SUITE 300Lagrange, IL 60525

Mailing Address5201 Willow Springs Rd, Suite 300Lagrange, IL 60525 · (708) 482-8088 · Fax (708) 482-9034

Phone(708) 482-8088

Fax(708) 482-9034

Sole ProprietorNo

Enumeration DateApril 17, 2020

Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1649890872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036163444

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5201 WILLOW SPRINGS RD, Lagrange, IL 60525

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya I Patel Do 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 Reassignment

Medicare enrollment records show Priya Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Winters Family Practice PC

29 mi

Family Medicine

2350 ROYAL BLVD, SUITE 300
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1912942863 (847) 742-3120

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 19

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 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.

697 services392 patients

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.

320 services236 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

282 services282 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

117 services116 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

92 services92 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

87 services87 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

85 services85 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

60 services50 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

58 services48 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

58 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

58 services52 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

51 services48 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

39 services35 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

28 services24 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

21 services21 patients

Imaging of retina for disease detection, with automated review and report at point of care 92229

This procedure involves capturing images of your retina, the innermost layer of your eye, to detect any diseases. An automated system reviews these images and generates a report immediately. It's a quick and non-invasive way to check eye health.

21 services21 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

21 services21 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

18 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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

$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.

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.

ISABELLE VANMOON CHU MD

Surgery

5201 WILLOW SPRINGS RD
LA GRANGE HIGHLANDS, IL 60525

Cook County (630) 226-0664

SOHAIL QAMAR CSA

5201 WILLOW SPRINGS RD
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 579-0018

JAAFAR AFSHAR MD

Obstetrics & Gynecology

5201 WILLOW SPRINGS RD, 120
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 245-6097

BENJAMIN EYE CARE

Durable Medical Equipment & Medical Supplies

5201 WILLOW SPRINGS RD, SUITE 450
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-2008

BARBARA T BORGIONE PA-C

Physician Assistant

5201 WILLOW SPRINGS RD, SUITE 430
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 482-3213

DR. BRUCE DUANE FICK MD

Ophthalmology

5201 WILLOW SPRINGS RD, SUITE 450
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-2008

MRS. ALISON BAXTER GIUNTA M.S. PA-C

Physician Assistant (Surgical)

5201 WILLOW SPRINGS RD, #440
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-4667

ADVENTIST HEALTH PARTNERS, INC

Obstetrics & Gynecology

5201 WILLOW SPRINGS RD, SUITE 120
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 245-6097

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1649890872. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Priya Patel located?

Priya Patel practices at 5201 Willow Springs Rd Suite 300, Lagrange, IL 60525. The listed phone number is (708) 482-8088.

What is Priya Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priya Patel enrolled in Medicare?

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

Which organization bills Medicare for Priya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to Winters Family Practice PC (Elgin, IL). The 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 Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.