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PATHIK M PATEL DO
NPI 1821594466
Family Medicine in Park Ridge, IL

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-6020 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2022, Aug 25, 2021 (2 updates tracked since 2021).

About Pathik M Patel Do NPPES

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

PATHIK M PATEL DO (NPI 1821594466) is an individual family medicine provider in Park Ridge, Illinois, licensed in Indiana (02006628A) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1821594466
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePATHIK M PATELCredential: DO
Location Address1775 BALLARD RDPark Ridge, IL 60068
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(847) 318-6020
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1821594466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 02006628A✔ Licensed in IL · 036.157211
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1775 BALLARD RD, Park Ridge, IL 60068
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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 and more.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

Pathik M Patel Do 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 ID8820484587
PECOS Enrollment IDI20220405002183
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 6

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.
269 services144 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151312
Location720 South Sixth StMonticello, IN 47960 · White County
Emergency services

Indiana University Health Frankfort Inc

Critical Access Hospitals · Frankfort, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151316
Location1300 S Jackson StFrankfort, IN 46041 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$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.

Other Providers at the Same Location NPPES 20

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

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

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 Pathik Patel's NPI number?

The NPI number for Pathik Patel is 1821594466. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Pathik Patel located?

Pathik Patel practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-6020.

What is Pathik Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pathik Patel enrolled in Medicare?

Yes. Pathik 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 Pathik Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Pathik 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 Pathik Patel affiliated with any hospitals?

According to CMS data, Pathik Patel is affiliated with Franciscan Health Lafayette, Indiana University Health Arnett Hospital, Indiana University Health White Memorial Hospital and Indiana University Health Frankfort Inc.

When was this NPI record last updated?

The NPPES record for Pathik Patel was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.