SUNIL A PATEL M.D.
NPI 1801987565
Internal Medicine in Western Springs, IL

Q: What is Sunil Patel's NPI number?

The NPI number for Sunil Patel is 1801987565. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Sunil Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Patel was last updated on February 27, 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.

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment

5108 CENTRAL AVE, WESTERN SPRINGS, IL 60558(630) 654-3023 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2022, Mar 12, 2021, Jul 6, 2020 (3 updates tracked since 2020).

On this page

About Sunil A Patel M.d. NPPES

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

SUNIL A PATEL M.D. (NPI 1801987565) is an individual internal medicine provider in Western Springs, Illinois, licensed in Illinois (036091559) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains a secondary practice location in Olympia Fields.

NPPES Registry Identity

NPI1801987565

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSUNIL A PATELCredential: M.D.

Location Address5108 CENTRAL AVEWestern Springs, IL 60558-1803

Mailing Address5108 Central AveWestern Springs, IL 60558-1803 · (630) 654-3023

Phone(630) 654-3023

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1993

Enumeration DateSeptember 27, 2006

Last NPPES UpdateFebruary 27, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1801987565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036091559

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036091559 (IL)

5108 CENTRAL AVE, Western Springs, IL 60558

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Secondary Practice Location 1

Location 13700 W 203rd St, 301Olympia Fields, IL 60461-1180 · Phone (708) 709-6295

Other Identifiers 3

MedicaidP01141465IL

Other050540914IL · Group Tax Id

OtherIL5686036IL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sunil A Patel M.d. 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 ID8123057676

PECOS Enrollment IDI20051209000312

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.

Medicare Billing Reassignment

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

Prime Healthcare Illinois Medical Group LLC

17 mi

Multi-Specialty

2380 E DEMPSTER ST
Des Plaines, IL 60016

Reassigned Medicare billing, Illinois enrollment
443 clinicians in this Medicare group

NPI 1023837689 (833) 291-0464

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

86 services86 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140007

Location333 N Madison StJoliet, IL 60435 · Will County

Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140172

Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60558 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

23 suppliers62 claims150 services$5.34 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

16 suppliers37 claims44 services$0.89 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers13 claims13 services$68.33 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers15 claims39 services$25.60 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$46.42 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$12.56 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers15 claims15 services$9.67 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers20 claims114 services$1.66 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier14 claims14 services$8.79 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

2 suppliers15 claims15 services$9.92 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers73 claims73 services$45.40 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers29 claims29 services$14.40 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers22 claims22 services$3.08 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers24 claims24 services$27.61 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers21 claims21 services$41.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers105 claims105 services$66.92 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers33 claims33 services$31.71 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims780 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims450 services$0.53 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers26 claims26 services$19.19 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers24 claims24 services$28.99 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers17 claims19 services$185.31 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier39 claims39 services$32.31 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers27 claims27 services$19.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sunil Patel's NPI number?

The NPI number for Sunil Patel is 1801987565. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Sunil Patel located?

Sunil Patel practices at 5108 Central Ave, Western Springs, IL 60558. The listed phone number is (630) 654-3023.

What is Sunil Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunil Patel enrolled in Medicare?

Yes. Sunil 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 Sunil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Patel reassigns Medicare benefits to Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Sunil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Patel accept?

Health plans from CareSource list Sunil 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 Sunil Patel affiliated with any hospitals?

According to CMS data, Sunil Patel is affiliated with Presence Saint Joseph Medical Center, Presence Saint Francis Hospital and Franciscan Health Olympia & Chicago Heights.

When was this NPI record last updated?

The NPPES record for Sunil Patel was last updated on February 27, 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.