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

Active since September 27, 2006PECOS Enrolled
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: July 19, 2026.

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

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 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
Sole ProprietorNo
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sunil A Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801987565, enumerated as an "individual" on September 27, 2006.

The provider is located at 5108 CENTRAL AVE WESTERN SPRINGS, IL 60558 and the phone number is (630) 654-3023.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.