PRAVIN-KUMAR PATEL MD
NPI 1760478325
Plastic Surgery in Chicago, IL
About Pravin-kumar Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVIN-KUMAR PATEL MD (NPI 1760478325) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (036-089964) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Drexel University College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Pravin-kumar 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
3Medicare enrollment records show Pravin-kumar Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: The Board Of Trustees Of The University Of Illinois
- 2,127 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 646 clinicians in this Medicare group
Chicago, IL 60707
- Reassigned Medicare billing, Illinois and Minnesota enrollments
- Also billed through NPI 1285250977 (Minnesota)
- 99 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.
University Of Illinois Hospital And Clinics
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
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 Pravin-kumar Patel's NPI number?
The NPI number for Pravin-kumar Patel is 1760478325. It was assigned to this individual provider in the NPPES registry on September 20, 2005.
Where is Pravin-kumar Patel located?
Pravin-kumar Patel practices at 811 S Paulina St # Mc588, Chicago, IL 60612. The listed phone number is (312) 996-9313.
What is Pravin-kumar Patel's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Pravin-kumar Patel enrolled in Medicare?
Yes. Pravin-kumar 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 Pravin-kumar Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pravin-kumar Patel reassigns Medicare benefits to 3 organizations: Board Of Trustees Fo The University Of Illinois (Chicago, IL), Mount Sinai Community Foundation (Chicago, IL) and Shriners Hospitals For Children (Chicago, 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 Pravin-kumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pravin-kumar Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and AmeriHealth Caritas Next list Pravin-kumar 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 Pravin-kumar Patel affiliated with any hospitals?
According to CMS data, Pravin-kumar Patel is affiliated with University Of Illinois Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Pravin-kumar Patel was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Pravin-Kumar Patel, MD · NPI 1760478325
Plastic Surgery physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since September 20, 2005.
## Identity
- **NPI:** 1760478325 (Entity type: Individual)
- **Enumerated:** September 20, 2005
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 036-089964 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 811 S PAULINA ST # MC588, Chicago, IL 60612-4353
- **Phone:** (312) 996-9313
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Board Of Trustees Fo The University Of Illinois (NPI 1326483991, Chicago, IL); Mount Sinai Community Foundation (NPI 1609072313, Chicago, IL); Shriners Hospitals For Children (NPI 1326536574, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 1985
## Record status
- **NPPES last updated:** January 26, 2012
- **Other identifiers:** Other 1627123 (IL); Medicaid 03575275 (MS); Medicare PIN L62312 (IL); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760478325) · Data from the CMS NPPES public registry.