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NILESH P PATEL DO
NPI 1942490396
Emergency Medicine in Elgin, IL

Active since July 31, 2007PECOS Enrolled
100/100
CMS Quality Rating
934 CENTER ST, ELGIN, IL 60120(847) 429-8750(847) 429-8978 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nilesh P Patel Do NPPES

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

NILESH P PATEL DO (NPI 1942490396) is an individual emergency medicine provider in Elgin, Illinois, licensed in Illinois (036117377) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942490396
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNILESH P PATELCredential: DO
Location Address934 CENTER STElgin, IL 60120-2125
Mailing Address150 Quail Ridge DrWestmont, IL 60559-6142 · (630) 321-8300 · Fax (630) 321-8750
Phone(847) 429-8750
Fax(847) 429-8978
Sole ProprietorNo
Enumeration DateJuly 31, 2007
Last NPPES UpdateOctober 29, 2009
✔ NPI 1942490396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036117377
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
934 CENTER ST, Elgin, IL 60120
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Other Identifiers 5

Medicare PINP00423569IL
Medicare PINK40456IL
Other04532206IL · Blue Cross Blue Shield
Medicaid036117377IL
Medicare PINK40457IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Nilesh Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - Illinois, LLP
2.6 mi
Emergency Medicine
2320 ROYAL BLVD, SUITE C
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Cepamerica Illinois LLP
  • 982 clinicians in this Medicare group
NPI 1720448491 (224) 783-5611

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
561 services516 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60120 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

ASHOK MEHTA
Specialist
934 CENTER ST
ELGIN, IL 60120
Cook County (630) 377-6541
CEPAMERICA ILLINOIS LLP
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (224) 783-2735
DR. DOUGLAS JACKSON M.D.
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 429-8750
GREATER ELGIN EMERGENCY SPECIALISTS LTD
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 742-9800
LAURA J SOSTAK CRNA
Nurse Anesthetist, Certified Registered
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 742-9800
MARY JUNG MD
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 429-8750
PRITI SINGH MD
Anesthesiology
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 742-9800
REGINA FOSTER NP
Nurse Practitioner
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 429-8750

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 Nilesh Patel's NPI number?

The NPI number for Nilesh Patel is 1942490396. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Nilesh Patel located?

Nilesh Patel practices at 934 Center St, Elgin, IL 60120. The listed phone number is (847) 429-8750.

What is Nilesh Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nilesh Patel enrolled in Medicare?

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

Which organization bills Medicare for Nilesh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Patel reassigns Medicare benefits to Cep America - Illinois, LLP (Elgin, IL). The 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 Nilesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nilesh Patel was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.