DR. PRIYA K PATEL O.D.
NPI 1912348517
Optometrist in Lombard, IL
About Dr. Priya K Patel O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYA K PATEL O.D. (NPI 1912348517) is an individual optometrist in Lombard, Illinois, licensed in Illinois (046010665) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Priya K Patel O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Priya Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Niles, IL 60714
- Reassigned Medicare billing, Illinois enrollment
- 108 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Illinois enrollment
- 82 clinicians in this Medicare group
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 60148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Priya Patel's NPI number?
The NPI number for Priya Patel is 1912348517. It was assigned to this individual provider in the NPPES registry on July 11, 2013.
Where is Priya Patel located?
Priya Patel practices at 266 Yorktown Center Visionworks, Lombard, IL 60148. The listed phone number is (630) 261-1867.
What is Priya Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Priya Patel enrolled in Medicare?
Yes. Priya Patel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Priya Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Patel reassigns Medicare benefits to 2 organizations: Visionworks, Inc. (Niles, IL) and Luxottica Of America Inc. (Mason, OH). 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 Priya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Patel accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Priya 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 Priya Patel was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.