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KRUPA PATEL
NPI 1871029272
Otolaryngology in Chicago, IL

Active since May 04, 2017PECOS Enrolled
1611 W HARRISON ST STE 550, CHICAGO, IL 60612(312) 942-6100 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Krupa Patel NPPES

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

KRUPA PATEL (NPI 1871029272) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (036165440) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871029272
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKRUPA PATEL
Location Address1611 W HARRISON ST STE 550Chicago, IL 60612-4861
Mailing Address1611 W Harrison St Ste 550Chicago, IL 60612-4861 · (312) 942-6100
Phone(312) 942-6100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1871029272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036165440
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1611 W HARRISON ST STE 550, Chicago, IL 60612
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Secondary Practice Location 1

Location 1243 Charles StBoston, MA 02114-3002 · Phone (617) 573-7900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krupa Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769756063
PECOS Enrollment IDI20260127000575
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 Reassignments

2

Medicare enrollment records show Krupa Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Group
0.1 mi
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,169 clinicians in this Medicare group
NPI 1093819542 (312) 942-5000
Nj Eye And Ear LLC
714 mi
Ophthalmology
17 W PALISADE AVE
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
NPI 1356860811 (973) 546-5700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$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.

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.

NICHOLAS ROBERT CURRAN MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-6100
DR. ELIAS M MICHAELIDES M. D.
Otolaryngology (Otology & Neurotology)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-6100
DR. PETER CHARLES REVENAUGH M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-6100
ALI BAIRD
Otolaryngology
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-6100
DR. RYAN MICHEAL SMITH M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-6100
DR. SARAH KHALIFE MD
Otolaryngology
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 783-4998
DR. KRISTAL MAUREEN KUNITOMO BROWN MD
Otolaryngology
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-6100
ALEXANDRA ROSE MCNEELY DNP
Nurse Practitioner (Pediatrics)
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Cook County (312) 942-7025

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 Krupa Patel's NPI number?

The NPI number for Krupa Patel is 1871029272. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Krupa Patel located?

Krupa Patel practices at 1611 W Harrison St Ste 550, Chicago, IL 60612. The listed phone number is (312) 942-6100.

What is Krupa Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Krupa Patel enrolled in Medicare?

Yes. Krupa Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Krupa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Patel reassigns Medicare benefits to 2 organizations: Rush University Medical Group (Chicago, IL) and Nj Eye And Ear LLC (Englewood, NJ). Each 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 Krupa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krupa Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Krupa 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.

When was this NPI record last updated?

The NPPES record for Krupa Patel was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.