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PARESHKUMAR PATEL D.O.
NPI 1861833576
Hospitalist in Chicago, IL

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5145 N CALIFORNIA AVE, SWEDISH COVENANT HOSPITAL, CHICAGO, IL 60625(773) 989-3808 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, Oct 30, 2020, Feb 13, 2019 and 2 more (5 updates tracked since 2017).

About Pareshkumar Patel D.o. NPPES

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

PARESHKUMAR PATEL D.O. (NPI 1861833576) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036140920) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Olympia Fields.

NPPES Registry Identity

NPI1861833576
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePARESHKUMAR PATELCredential: D.O.
Location Address5145 N CALIFORNIA AVE, SWEDISH COVENANT HOSPITALChicago, IL 60625
Mailing Address5145 N California Ave, Swedish Covenant HospitalChicago, IL 60625-3661 · (773) 878-8200
Phone(773) 989-3808
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateFebruary 13, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1861833576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036140920
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036140920 (IL)
5145 N CALIFORNIA AVE, Chicago, IL 60625
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Other Names 1

Professional Name (2)Paresh Patel Do

Secondary Practice Location 1

Location 120201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (708) 679-2160 · Fax (708) 679-2161

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

Pareshkumar Patel D.o. 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 ID8224315502
PECOS Enrollment IDI20170516000879
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 7

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 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.
172 services71 patients
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.
87 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services65 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
69 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
47 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier66 claims66 services$13.40 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
1 supplier75 claims75 services$60.80 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier32 claims32 services$19.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IVAN ZRANTCHEV MD
Emergency Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
AMC ANESTHESIA LTD
Anesthesiology
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
GLORIA NEZIANYA APN-CNP
Nurse Practitioner
5145 N CALIFORNIA AVE, STE M276
CHICAGO, IL 60625
Cook County (773) 878-8200
DR. SINAMIS IDREI MD
Internal Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 787-8200
KAYLA ARLENE BALOUSEK MD
Emergency Medicine
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 878-8200
JULIE I FRITZ PA
Physician Assistant
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 989-3800
DR. ARTEMIS KHOJASTEH M.D.
Emergency Medicine
5145 N CALIFORNIA AVE, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60625
Cook County (773) 878-8200
WILMER FERNANDO DAVILA M.D.
Anesthesiology
5145 N CALIFORNIA AVE
CHICAGO, IL 60625
Cook County (773) 293-5486

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 Pareshkumar Patel's NPI number?

The NPI number for Pareshkumar Patel is 1861833576. It was assigned to this individual provider in the NPPES registry on July 10, 2013. The provider is also known as Paresh Patel Do.

Where is Pareshkumar Patel located?

Pareshkumar Patel practices at 5145 N California Ave Swedish Covenant Hospital, Chicago, IL 60625. The listed phone number is (773) 989-3808.

What is Pareshkumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pareshkumar Patel enrolled in Medicare?

Yes. Pareshkumar 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.

Is Pareshkumar Patel affiliated with any hospitals?

According to CMS data, Pareshkumar Patel is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Pareshkumar Patel was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.