BIRJU PATEL MD
Accepted Insurance for NPI 1699018317
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kenilworth, IL

Q: What managed care network types are accepted by this provider?

BIRJU PATEL MD is enrolled across the following managed care network types: HMO, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.

NPI Status: Active since April 01, 2013

Contact Information

444 GREEN BAY RD
KENILWORTH, IL
ZIP 60043
Phone: (847) 853-0234
Fax: (847) 853-0230

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with BIRJU PATEL MD, a practicing psychiatry & neurology professional in Kenilworth, IL. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 93 individual coverage options managed by medical networks, including networks like McLaren Health Plan Community, Priority Health, and Sanford Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Search Insurance Plans

Filter By Insurance Company

Fitler by Network Type

McLaren Health Plan Community

MHP Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020011

MHP Bronze Saver (Expanded)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020013

MHP Expanded Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020024

MHP Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020006

MHP Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020018

MHP Silver Exchange

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020005

MHP Silver Exchange Rewards

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020017

MHP Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020019

MHP Young Adult/Catastrophic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020004

Priority Health

MyPriority Balanced Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541220

MyPriority Balanced Silver Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541222

MyPriority Balanced Silver Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541221

MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541237

MyPriority Balanced Silver Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541223

MyPriority Balanced Silver Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541225

MyPriority Enhanced Gold Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0540596

MyPriority Enhanced Gold Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0540595

MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0540742

MyPriority Enhanced Gold Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0540597

MyPriority Enhanced Gold Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0540599

MyPriority Premier Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541260

MyPriority Premier Silver Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541262

MyPriority Premier Silver Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541261

MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541239

MyPriority Premier Silver Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541265

MyPriority Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541300

MyPriority Standard Bronze - Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541302

MyPriority Standard Bronze - Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541301

MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541343

MyPriority Standard Bronze - Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541303

MyPriority Standard Bronze - Travel

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541306

MyPriority Standard Bronze - Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541305

MyPriority Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541320

MyPriority Standard Gold Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541322

MyPriority Standard Gold Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541321

MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541345

MyPriority Standard Gold Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541323

MyPriority Standard Gold Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541325

MyPriority Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541310

MyPriority Standard Silver - Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541312

MyPriority Standard Silver - Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541311

MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541344

MyPriority Standard Silver - Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541313

MyPriority Standard Silver - Travel

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541316

MyPriority Standard Silver - Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541315

MyPriority Value Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541210

MyPriority Value Bronze Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541212

MyPriority Value Bronze Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541211

MyPriority Value Bronze Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541236

MyPriority Value Bronze HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541200

MyPriority Value Bronze HSA Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541202

MyPriority Value Bronze HSA Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541201

MyPriority Value Bronze HSA Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COREWELL-WEST-NARROW-HMO Tier

Accepted Plan ID Variations

29698MI0541235

MyPriority Value Bronze HSA Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541203

MyPriority Value Bronze HSA Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541205

MyPriority Value Bronze Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BEAUMONT-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541213

MyPriority Value Bronze Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TRINITY-EAST-NARROW-NET-HMO Tier

Accepted Plan ID Variations

29698MI0541215

Sanford Health Plan

Sanford Individual Simplicity $1,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000189364ND0120001

Sanford Individual Simplicity $10,600

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000989364ND0120009

Sanford Individual Simplicity $3,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000389364ND0120003

Sanford Individual Simplicity $4,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000589364ND0120005

Sanford Individual Simplicity $6,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000789364ND0120007

Sanford Individual Simplicity $7,200 HSA Qualified

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000689364ND0120006

Sanford Individual Simplicity Standardized $2,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001889364ND0120018

Sanford Individual Simplicity Standardized $6,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001789364ND0120017

Sanford Individual Simplicity Standardized $7,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001689364ND0120016

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does BIRJU PATEL MD accept?

This provider accepts health insurance plans managed by the following insurance companies: McLaren Health Plan Community, Priority Health, Sanford Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

BIRJU PATEL MD is enrolled across the following managed care network types: HMO, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.