HEEREN RAJESH PATEL M.D.
NPI 1982865481
Psychiatry & Neurology - Neurology in Crystal Lake, IL

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014(815) 455-2752(815) 455-2789 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Oct 19, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Heeren Rajesh Patel M.d. NPPES

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

HEEREN RAJESH PATEL M.D. (NPI 1982865481) is an individual neurology provider in Crystal Lake, Illinois, licensed in Illinois (036.128526) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982865481
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameHEEREN RAJESH PATELCredential: M.D.
Location Address750 E TERRA COTTA AVE STE ACrystal Lake, IL 60014
Mailing Address750 E Terra Cotta Ave Ste ACrystal Lake, IL 60014-3621 · (815) 455-2752 · Fax (815) 455-2789
Fax(815) 455-2789
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1982865481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036.128526
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
750 E TERRA COTTA AVE STE A, Crystal Lake, IL 60014

Secondary Practice Locations 4

Location 1912 S Wood St, MC-796Chicago, IL 60612-4300 · Phone (312) 996-6906
Location 23701 Doty RdWoodstock, IL 60098-7509 · Phone (815) 338-2500 · Fax (815) 455-1875
Location 34201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 344-5000 · Fax (815) 455-1875
Location 410400 Haligus RdHuntley, IL 60142-9553 · Phone (224) 654-0000 · Fax (815) 455-1875

Other Identifiers 1

Other036128526IL · State License

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

Heeren Rajesh 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 ID6901045350
PECOS Enrollment IDI20130617000346
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

3

Medicare enrollment records show Heeren Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1982824660 (Illinois)
  • 2,127 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.

Areas of Expertise CMS Part B claims 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
144 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services71 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
33 services33 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.
33 services33 patients
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.
30 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiologic Technologist (Cardiovascular-Interventional Technology)
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014
Nurse Practitioner
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Neurology)
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Neurology)
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014
Pain Medicine (Interventional Pain Medicine)
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014
Radiology (Vascular & Interventional Radiology)
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014
Podiatrist (Foot & Ankle Surgery)
750 E TERRA COTTA AVE STE A
CRYSTAL LAKE, IL 60014

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 Heeren Patel's NPI number?

The NPI number for Heeren Patel is 1982865481. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Heeren Patel located?

Heeren Patel practices at 750 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014. The listed phone number is (815) 455-2752.

What is Heeren Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Heeren Patel enrolled in Medicare?

Yes. Heeren 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 Heeren Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heeren Patel reassigns Medicare benefits to 3 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL), Central Dupage Physician Group (Carol Stream, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). 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 Heeren Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heeren Patel affiliated with any hospitals?

According to CMS data, Heeren Patel is affiliated with Northwestern Medicine Mchenry.

When was this NPI record last updated?

The NPPES record for Heeren Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.