DR. ASHISH PATEL M.D.
NPI 1992077887
Orthopaedic Surgery in Elmhurst, IL

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
133 E BRUSH HILL RD STE 100, ELMHURST, IL 60126(630) 501-0630 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2021, Mar 31, 2020, Apr 22, 2019 (3 updates tracked since 2019).

About Dr. Ashish Patel M.d. NPPES

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

DR. ASHISH PATEL M.D. (NPI 1992077887) is an individual orthopaedic surgery provider in Elmhurst, Illinois, licensed in Illinois (036149060) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1992077887
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ASHISH PATELCredential: M.D.
Location Address133 E BRUSH HILL RD STE 100Elmhurst, IL 60126-5660
Mailing Address1860 Paysphere CirChicago, IL 60674-2420 · (630) 469-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 7, 2012
Last NPPES UpdateJanuary 26, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1992077887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IL · 036149060 Licensed in NY · 937805
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 36149060 (IL)
133 E BRUSH HILL RD STE 100, Elmhurst, IL 60126

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. Ashish 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 ID3173821972
PECOS Enrollment IDI20190501001994
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 18

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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
217 services207 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
183 services120 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.
181 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services74 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
75 services48 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
59 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$202.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Podiatrist (Foot & Ankle Surgery)
133 E BRUSH HILL RD STE 100
ELMHURST, IL 60126
Physician Assistant
133 E BRUSH HILL RD STE 100
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 100
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 100
ELMHURST, IL 60126
Physical Therapist
133 E BRUSH HILL RD STE 100
ELMHURST, IL 60126
Physical Medicine & Rehabilitation
133 E BRUSH HILL RD STE 100
ELMHURST, IL 60126

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 Ashish Patel's NPI number?

The NPI number for Ashish Patel is 1992077887. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Ashish Patel located?

Ashish Patel practices at 133 E Brush Hill Rd Ste 100, Elmhurst, IL 60126. The listed phone number is (630) 501-0630.

What is Ashish Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ashish Patel enrolled in Medicare?

Yes. Ashish 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 Ashish Patel affiliated with any hospitals?

According to CMS data, Ashish Patel is affiliated with Adventist Hinsdale Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Ashish Patel was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.