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DR. KAJAL M PATEL DC
NPI 1679310536
Chiropractor in Chicago, IL

Active since July 09, 2024Accepts Medicare Assignment
4555 N LINCOLN AVE, CHICAGO, IL 60625(773) 328-8153 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kajal M Patel Dc NPPES

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

DR. KAJAL M PATEL DC (NPI 1679310536) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038.014160) and active in the NPI registry since July 2024. She is a graduate of National College Of Chiropractic (2024).

NPPES Registry Identity

NPI1679310536
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KAJAL M PATELCredential: DC
Location Address4555 N LINCOLN AVEChicago, IL 60625-2102
Mailing Address875 E Forest AveDes Plaines, IL 60018-1451 · (224) 645-5114
Phone(773) 328-8153
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 2024
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1679310536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.014160
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4555 N LINCOLN AVE, Chicago, IL 60625
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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

Dr. Kajal M Patel Dc 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 ID1153860994
PECOS Enrollment IDI20240826001175

Medicare Billing Reassignment

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

Active Wellness, LLC
Same address
Chiropractor
4555 N LINCOLN AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1902162662 (773) 328-8153

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

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. ANNEMARIE FILISKY LECLAIR D.C.
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 598-4387
KELLY KIRLES L.AC
Acupuncturist
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 273-6734
SCOTT LYMAN DC
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 328-8153
DR. JOSHUA ELLIOTT BUTTON DC
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 328-8153
PATRYCJA MARIA DANIEL LAC
Acupuncturist
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 598-4387
DR. KATELYN GIANCOLA D.C.
Chiropractor
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 328-8153
VITALIY KOPYTKO L.AC
Acupuncturist
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (773) 273-6736
DR. KENICE ANNE BROUGHMAN D.C.
Chiropractor (Nutrition)
4555 N LINCOLN AVE
CHICAGO, IL 60625
Cook County (386) 763-2763

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 Kajal Patel's NPI number?

The NPI number for Kajal Patel is 1679310536. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Kajal Patel located?

Kajal Patel practices at 4555 N Lincoln Ave, Chicago, IL 60625. The listed phone number is (773) 328-8153.

What is Kajal Patel's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kajal Patel enrolled in Medicare?

Yes. Kajal 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 organization bills Medicare for Kajal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kajal Patel reassigns Medicare benefits to Active Wellness, LLC (Chicago, 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 Kajal 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 Kajal Patel was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.