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PRAVIN-KUMAR PATEL MD
NPI 1760478325
Plastic Surgery in Chicago, IL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
811 S PAULINA ST # MC588, CHICAGO, IL 60612(312) 996-9313 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1760478325
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NamePRAVIN-KUMAR PATELCredential: MD
Location Address811 S PAULINA ST # MC588Chicago, IL 60612-4353
Mailing Address35422 Eagle WayChicago, IL 60678-1354
Phone(312) 996-9313
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 1985
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1760478325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 036-089964
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
811 S PAULINA ST # MC588, Chicago, IL 60612
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Other Identifiers 6

Other1627123IL · Bcbs Provider Id
Medicaid03575275MS
Medicare PINL62312IL
Medicaid036089964IL
Medicare UPINF79532IL
Medicaid1000956000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6507886223
PECOS Enrollment IDI20051128000074
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.

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, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician 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.

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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARD OF TRUSTEES FO THE UNIVERSITY OF ILLINOIS
Dentist (Oral and Maxillofacial Surgery)
811 S PAULINA ST # MC588
CHICAGO, IL 60612
Cook County (312) 996-7546

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.

What insurance does Pravin-kumar Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian 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.