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AVNI PATEL PA-C
NPI 1811054620
Physician Assistant in Hoffman Estates, IL

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
1555 N BARRINGTON RD., DOB 3, SUITE 4100, HOFFMAN ESTATES, IL 60169(847) 781-1790(847) 781-9973 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avni Patel Pa-c NPPES

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

AVNI PATEL PA-C (NPI 1811054620) is an individual physician assistant in Hoffman Estates, Illinois, licensed in Illinois (085002333) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1811054620
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAVNI PATELCredential: PA-C
Location Address1555 N BARRINGTON RD., DOB 3, SUITE 4100Hoffman Estates, IL 60169
Mailing Address1860 Payshere CircleChicago, IL 60674-0001 · (630) 469-9200
Phone(847) 781-1790
Fax(847) 781-9973
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 2, 2007
Last NPPES UpdateOctober 12, 2017
✔ NPI 1811054620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085002333
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1555 N BARRINGTON RD., Hoffman Estates, IL 60169
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Other Identifiers 2

Medicare UPINQ28275
Medicare PIN1L15661L1573

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Avni Patel Pa-c 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 ID8123082740
PECOS Enrollment IDI20041115000146
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60169 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.

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 Avni Patel's NPI number?

The NPI number for Avni Patel is 1811054620. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Avni Patel located?

Avni Patel practices at 1555 N Barrington Rd. Dob 3, Suite 4100, Hoffman Estates, IL 60169. The listed phone number is (847) 781-1790.

What is Avni Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Avni Patel enrolled in Medicare?

Yes. Avni 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 Avni Patel accept?

Health plans from MercyCare Health Plans, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Avni 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 Avni Patel affiliated with any hospitals?

According to CMS data, Avni Patel is affiliated with Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Avni Patel was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.