Monica Patel, M.D.
NPI 1225390917 · Endocrinology, Diabetes & Metabolism Physician · Downers Grove, IL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Patel, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Downers Grove, IL (NPI 1225390917).
Provider details
- NPI number
- 1225390917
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A150817 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,336 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 426 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 387 | $131 |
| Hemoglobin A1c Level83036 | 252 | $10 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 218 | $9 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 151 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 270 | 77 |
| Semaglutidebrand: Ozempic | 206 | 52 |
| Metformin Hcl | 139 | 55 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 135 | 49 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 87 | 39 |
| Metformin Hclbrand: Metformin Hcl Er | 75 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$557 across 27 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-09
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Frequently asked questions
- What is Monica Patel's NPI number?
- Monica Patel's National Provider Identifier (NPI) is 1225390917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Patel's specialty?
- Monica Patel is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Monica Patel located?
- Monica Patel's practice location on file with NPPES is 5207 Main St, Downers Grove, IL 60515-4652.
- What is Monica Patel's phone number?
- The practice phone number listed in the NPPES registry for Monica Patel is (630) 789-4910.
- Does Monica Patel accept Medicare?
- Monica Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Patel's NPI active?
- Yes — Monica Patel's NPI (1225390917) is active in the NPPES registry as of the last update on 2023-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.