Niral Patel, M.D.
NPI 1083845945 · Family Medicine Physician · Crystal Lake, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niral Patel, M.D. is a Family Medicine Physician provider in Crystal Lake, IL (NPI 1083845945).
Provider details
- NPI number
- 1083845945
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036136344 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
272 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 205 | $162 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 26 | $112 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 24 | $85 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 17 | $119 |
Typical Medicare-allowed amounts for these services range $85–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (6)
- 6345 W 79th StBurbank, IL 60459-1133Phone: (312) 609-0300Fax: (708) 684-3070
- 10350 Haligus RdHuntley, IL 60142-9545Phone: (815) 338-6600Fax: (847) 802-7112
- 801 S Milwaukee AveLibertyville, IL 60048-3204Phone: (847) 362-2900
- 2507 N Richmond RdMchenry, IL 60051-5407Phone: (815) 338-6600Fax: (815) 385-3255
- 1925 Huntley RdWest Dundee, IL 60118-9301Phone: (815) 338-6600Fax: (847) 426-5162
- 1600 Brady StChesaning, MI 48616-1086Phone: (989) 845-1800Fax: (989) 845-1800
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Frequently asked questions
- What is Niral Patel's NPI number?
- Niral Patel's National Provider Identifier (NPI) is 1083845945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niral Patel's specialty?
- Niral Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Niral Patel located?
- Niral Patel's practice location on file with NPPES is 360 Station Dr, Crystal Lake, IL 60014.
- What is Niral Patel's phone number?
- The practice phone number listed in the NPPES registry for Niral Patel is (815) 338-6600.
- Does Niral Patel accept Medicare?
- Niral Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niral Patel's NPI active?
- Yes — Niral Patel's NPI (1083845945) is active in the NPPES registry as of the last update on 2024-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.