Sejal Patel, M.D.
NPI 1457663320 · Family Medicine Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sejal Patel, M.D. is a Family Medicine Physician provider in Chicago, IL (NPI 1457663320).
Provider details
- NPI number
- 1457663320
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125.058876 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
543 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 170 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 136 | $87 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 83 | $161 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 44 | $105 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 34 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 164 | 160 |
| Azithromycin | 80 | 79 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 69 | 68 |
| Ciprofloxacin Hcl | 52 | 51 |
| Amoxicillin | 49 | 46 |
| Doxycycline Monohydrate | 36 | 36 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 31 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$91 across 4 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
Additional practice locations (1)
- 207 Gateway DrWinchester, VA 22603-5835Phone: (540) 535-1029
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Sejal Patel's NPI number?
- Sejal Patel's National Provider Identifier (NPI) is 1457663320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sejal Patel's specialty?
- Sejal Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sejal Patel located?
- Sejal Patel's practice location on file with NPPES is 3525 S Michigan Ave, Chicago, IL 60653-1019.
- What is Sejal Patel's phone number?
- The practice phone number listed in the NPPES registry for Sejal Patel is (312) 945-4040.
- Does Sejal Patel accept Medicare?
- Sejal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sejal Patel's NPI active?
- Yes — Sejal Patel's NPI (1457663320) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.