Active NPI 1396127239 Individual Practitioner Male Practitioner

Dr. Krunal Patel , MD

Internal Medicine • Addison, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Krunal Patel, MD is a certified Internal Medicine practicing in Addison, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Patel delivers high-quality medical care to the local community at 303 W LAKE ST.

Dr. Patel accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 W Lake St
Suite 200

Addison, IL 60101

Telephone 3312219001

Associated Practice Facility / Clinic

🏢 Dupage Medical Associates, Sc Facility NPI 1912968785

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Addison, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -12.6 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Addison, IL (7544 Statewide)

Telehealth Adoption Rate

35.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (12 Years) 12 Yrs

Addison Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	124	$278.00	$136.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$283.00	$139.13
99213 Established patient office or other outpatient visit, typically 15 minutes	67	63	$200.00	$96.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	32	$394.00	$176.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$404.00	$176.66
G0008 Administration of influenza virus vaccine	14	14	$68.00	$33.45
90662 Influenza vaccine split virus, preservative free	11	11	$140.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	110	$230.00	$132.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$200.00	$136.48
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$162.00	$93.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$311.00	$188.91
99496 Transitional care management services for problem of high complexity	20	15	$492.00	$292.03
90662 Influenza vaccine split virus, preservative free	19	19	$85.00	$71.93
G0008 Administration of influenza virus vaccine	19	19	$31.00	$30.38
83036 Hemoglobin A1C level	19	18	$20.00	$9.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$311.54	$281.40
G0009 Administration of pneumococcal vaccine	13	13	$35.00	$32.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	150	$230.00	$135.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$200.00	$139.35
99213 Established patient office or other outpatient visit, typically 15 minutes	78	60	$162.00	$96.09
G0008 Administration of influenza virus vaccine	33	33	$31.00	$30.40
90662 Influenza vaccine split virus, preservative free	30	30	$72.00	$68.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$342.00	$179.13
G0009 Administration of pneumococcal vaccine	21	21	$35.00	$31.25
99496 Transitional care management services for problem of high complexity	19	15	$492.00	$296.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$311.00	$193.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$125.00	$56.59
83036 Hemoglobin A1C level	16	14	$20.00	$9.55
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$309.00	$278.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	165	$230.00	$137.57
99213 Established patient office or other outpatient visit, typically 15 minutes	74	60	$162.00	$97.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$200.00	$142.62
G0008 Administration of influenza virus vaccine	37	37	$31.00	$17.98
90662 Influenza vaccine split virus, preservative free	34	34	$72.00	$65.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$137.50	$122.95
G0009 Administration of pneumococcal vaccine	24	24	$35.00	$17.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$311.00	$187.03
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$85.00	$85.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$125.00	$56.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$342.00	$180.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	111	$139.66	$84.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$200.00	$124.00
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$120.98	$55.24
99442 Telephone medical discussion with physician, 11-20 minutes	37	30	$85.00	$55.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$124.88	$82.05
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$150.00	$84.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	91	$123.70	$81.43
99213 Established patient office or other outpatient visit, typically 15 minutes	106	85	$79.58	$53.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$200.00	$121.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$47.00	$28.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$83.60	$55.36

Medical Specialties & State Licenses

CMS Verified: 2021-04-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036147421

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Anasooyadevi Vijay , APN-CNP

Nurse Practitioner

NPI 1003320128

APNCNP

Dr. Maelen Pantano , MD

Internal Medicine

NPI 1023068152

Doctor of Medicine (M.D.)

Dr. Ricardo Martinez , MD

Family Medicine

NPI 1033307863

Doctor of Medicine (M.D.)

Dr. Anastasia Munoz , MD

Family Medicine

NPI 1053766840

Doctor of Medicine (M.D.)

Aysha Ahmed , PA-C

Physician Assistant

NPI 1053880138

Physician Assistant (Certified)

Dr. Asma Ayub , MD

Family Medicine

NPI 1063413326

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Business Mailing Address April 22, 2021

Registered at 4201 WINFIELD RD FL 4, WARRENVILLE, IL 605554025 (Tel: 3312216377)

📍

Updated Practice Location October 12, 2018

Registered at 303 W LAKE ST, SUITE 200, ADDISON, IL 60101 (Tel: 3312219001)

📍

Updated Business Mailing Address October 12, 2018

Registered at 172 SCHILLER, ELMHURST, IL 601262885 (Tel: 3312216377)

👤

Provider Name / Credentials Updated October 12, 2018

Recorded as KRUNAL PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2018

Internal Medicine (License #036147421 in IL)

✅

NPI Profile Active June 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2015

Registered at 44405 WOODWARD AVE, MEDICAL EDUCATION, PONTIAC, MI 483415023 (Tel: 6303527232)

📍

Updated Business Mailing Address June 28, 2015

Registered at 44405 WOODWARD AVE, MEDICAL EDUCATION, PONTIAC, MI 483415023 (Tel: 6303527232)

👤

Provider Name / Credentials Updated June 28, 2015

Recorded as KRUNAL PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2015

Internal Medicine (License #4301107056 in MI)

🟢

Initial NPI Registration & Enumeration June 28, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396127239

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2015

Last Update: April 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4201 Winfield Rd Fl 4

Warrenville, IL 605554025

Phone: 3312216377

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.