DR. TORAL ARUN PATEL M.D.
NPI 1902008006
Internal Medicine in Chicago, IL

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
2900 N LAKE SHORE DR, #1231, CHICAGO, IL 60657(312) 402-8735(772) 665-9435 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Toral Arun Patel M.d. NPPES

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

DR. TORAL ARUN PATEL M.D. (NPI 1902008006) is an individual internal medicine provider in Chicago, Illinois, licensed in Michigan (4301084475) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1902008006
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TORAL ARUN PATELCredential: M.D.
Location Address2900 N LAKE SHORE DR, #1231Chicago, IL 60657-5640
Mailing Address2900 N Lake Shore Dr, #1231Chicago, IL 60657-5640 · (312) 402-8735 · Fax (773) 665-9435
Fax(772) 665-9435
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 1, 2007
Last NPPES UpdateJune 16, 2009
NPI 1902008006 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 MI · 4301084475
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 · Infectious DiseaseTaxonomy 207RI0200X · License 036-119118 (IL)
2900 N LAKE SHORE DR, Chicago, IL 60657

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

Dr. Toral Arun Patel M.d. 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 ID6709939069
PECOS Enrollment IDI20090804000260
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 4

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.
545 services102 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.
108 services92 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.
40 services22 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%22 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
48%25 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%36 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Internal Medicine (Infectious Disease)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Pain Medicine (Interventional Pain Medicine)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Family Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Audiologist
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Dietitian, Registered
2900 N LAKE SHORE DR, CLINICAL NUTRITION SERVICES
CHICAGO, IL 60657
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Internal Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657

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 Toral Patel's NPI number?

The NPI number for Toral Patel is 1902008006. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Toral Patel located?

Toral Patel practices at 2900 N Lake Shore Dr #1231, Chicago, IL 60657. The listed phone number is (312) 402-8735.

What is Toral Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Toral Patel enrolled in Medicare?

Yes. Toral 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 Toral Patel affiliated with any hospitals?

According to CMS data, Toral Patel is affiliated with Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Toral Patel was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.