PRITI M. PATEL MD
NPI 1740483627
Pediatrics - Pediatric Cardiology in Peoria, IL
About Priti M. Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRITI M. PATEL MD (NPI 1740483627) is an individual pediatric cardiology provider in Peoria, Illinois, licensed in Iowa (36156) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Mattoon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Priti M. Patel Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Priti Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61605
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Silvis, IL 61282
- Reassigned Medicare billing, Illinois enrollment
- 198 clinicians in this Medicare group
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
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.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILFrequently 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 Priti Patel's NPI number?
The NPI number for Priti Patel is 1740483627. It was assigned to this individual provider in the NPPES registry on June 7, 2007.
Where is Priti Patel located?
Priti Patel practices at 530 NE Glenoak Ave, Peoria, IL 61603. The listed phone number is (319) 354-1625.
What is Priti Patel's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Priti Patel enrolled in Medicare?
Yes. Priti 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 Priti Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priti Patel reassigns Medicare benefits to 4 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL), Genesis Health System (Silvis, IL) and Sarah Bush Lincoln Health Center (Mattoon, 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 Priti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priti Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Wellmark Health Plan of Iowa, Inc. list Priti 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 Priti Patel affiliated with any hospitals?
According to CMS data, Priti Patel is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Priti Patel was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Priti M. Patel, MD · NPI 1740483627
Pediatric Cardiology physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1740483627 (Entity type: Individual)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 36156 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLENOAK AVE, Peoria, IL 61603-3133
- **Phone:** (319) 354-1625
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Board Of Trustees Of The University Of Illinois (NPI 1467425322, Peoria, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Genesis Health System (NPI 1427132604, Silvis, IL); Sarah Bush Lincoln Health Center (NPI 1568581379, Mattoon, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** July 5, 2022
- **Other identifiers:** Other 216946 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1740483627) · Data from the CMS NPPES public registry.