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AVANI AJAY PATEL NP
NPI 1962160572
Nurse Practitioner - Psychiatric/Mental Health in Hickory Hills, IL

Active since December 01, 2021PECOS EnrolledAccepts Medicare Assignment
8800 ACTIVE LN, HICKORY HILLS, IL 60457(760) 706-0457 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2026, Jan 10, 2026, Dec 1, 2021 (3 updates tracked since 2021).

About Avani Ajay Patel Np NPPES

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

AVANI AJAY PATEL NP (NPI 1962160572) is an individual psychiatric/mental health provider in Hickory Hills, Illinois, licensed in California (95020104) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962160572
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAVANI AJAY PATELCredential: NP
Location Address8800 ACTIVE LNHickory Hills, IL 60457-1253
Mailing Address8800 Active LnHickory Hills, IL 60457-1253 · (760) 706-0457
Phone(760) 706-0457
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 1, 2021
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1962160572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95020104✔ Licensed in IL · 209024411
8800 ACTIVE LN, Hickory Hills, IL 60457
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Avani Ajay Patel Np 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 ID1254714421
PECOS Enrollment IDI20220822000371
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 Avani Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benchmark Psychiatric Services Ltd
16 mi
Psychiatric/Mental Health
1938 E LINCOLN HWY STE 207B
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1013118413 (800) 461-9533
Brightside Medical, P.A.
1,851 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Brightside Medical PA
  • 50 clinicians in this Medicare group
NPI 1609335660 (415) 360-3348

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services20 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
50 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60457 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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 Avani Patel's NPI number?

The NPI number for Avani Patel is 1962160572. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Avani Patel located?

Avani Patel practices at 8800 Active Ln, Hickory Hills, IL 60457. The listed phone number is (760) 706-0457.

What is Avani Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Avani Patel enrolled in Medicare?

Yes. Avani 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.

Which organizations bill Medicare for Avani Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avani Patel reassigns Medicare benefits to 2 organizations: Benchmark Psychiatric Services Ltd (New Lenox, IL) and Brightside Medical, P.A. (San Francisco, CA). 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 Avani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avani Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Avani 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 Avani Patel was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.