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Active NPI 1447254255 Individual Practitioner Male Practitioner

Dr. Piushkumar J Patel , MD

Internal Medicine • Huntley, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Piushkumar Patel, MD is a certified Internal Medicine practicing in Huntley, IL. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Patel delivers high-quality medical care to the local community at 10350 HALIGUS RD STE 200.

Dr. Patel maintains professional affiliations with Pilsen Medical Clinic And Associates Llc, Central Dupage Physician Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10350 Haligus Rd Ste 200

Huntley, IL 60142

Telephone 8153386600
Fax 8478027265
Associated Practice Facility / Clinic
🏢 Ifzal K Bangash M.d.s.c. Facility NPI 1962510537

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Huntley, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +6.6 yrs vs City Avg
City Avg: 20.4 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Huntley, IL (7544 Statewide)

Telehealth Adoption Rate
60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
44.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (27 Years) 27 Yrs
Huntley Specialty Average (20.4 Years) 20.4 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
J0897 Injection, denosumab, 1 mg
1,620 17 $47.07 $25.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
1,116 640 $193.83 $125.84
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
975 70 $41.42 $39.94
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
711 73 $49.48 $47.20
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
702 74 $54.23 $49.54
G2211 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's
487 311 $49.00 $16.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
478 478 $269.72 $128.64
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
223 29 $43.00 $42.31
99213 Established patient office or other outpatient visit, typically 15 minutes
172 144 $123.00 $88.43
83036 Hemoglobin A1C level
90 77 $58.00 $9.52
G0008 Administration of influenza virus vaccine
81 80 $38.00 $31.35
90662 Influenza vaccine split virus, preservative free
78 77 $110.00 $81.57
99496 Transitional care management services for problem of high complexity
66 57 $500.00 $273.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
62 20 $70.00 $13.95
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
49 39 $160.92 $52.12
99495 Transitional care management services for problem of at least moderate complexity
34 33 $355.00 $201.32
81002 Urinalysis, manual test
30 29 $20.00 $3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
26 26 $290.00 $163.96
G0179 Physician re-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 to affirm the initial imp
23 19 $129.00 $40.64
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
20 20 $356.00 $288.86
G0009 Administration of pneumococcal vaccine
20 20 $38.00 $31.15
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
19 18 $45.00 $6.00
69210 Removal of impacted ear wax
19 18 $149.00 $47.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
15 15 $341.00 $163.94

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036108301

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036108301 (IL)
Commercial Insurance / Payer ID State License
036108301 (IL)

Hospital & Practice Group Affiliations

Central Dupage Physician Group

1800 N Main St, Wheaton, IL 601873112

Phone: 6309334800

Pilsen Medical Clinic And Associates Llc

4415 Harrison St, Hillside, IL 601621919

Phone: 3127383355

Central Dupage Physician Group

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594874

Central Dupage Physician Group

10350 Haligus Rd, Huntley, IL 601429585

Secondary Practice Locations

3707 Doty Rd, Suite D

Woodstock, IL 600987530

Phone: 8153386600

Practice Associates & Co-Workers

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

40 Associated Practitioners
Sandra Jaeschke , CNP

Nurse Practitioner

NPI 1003815770

Certified Nurse Practitioner

NPI 1003995697

Doctor of Medicine (M.D.)

Hilary Pirro , MSW, LCSW

Social Worker - Clinical

NPI 1013339852

Master of Social Work, Licensed Clinical Social Worker

NPI 1013915248

Doctor of Osteopathic Medicine (D.O.)

Dr. Brian Blackmon , DO

Psychiatry & Neurology - Psychiatry

NPI 1033235882

Doctor of Osteopathic Medicine (D.O.)

Dr. Darby Murphy , MD

Obstetrics & Gynecology

NPI 1043474703

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location May 16, 2018

Registered at 10350 HALIGUS RD STE 200, HUNTLEY, IL 60142 (Tel: 8153386600)

📍
Updated Business Mailing Address May 16, 2018

Registered at 10350 HALIGUS RD STE 200, HUNTLEY, IL 601429545 (Tel: 8153386600)

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 10350 HALIGUS RD STE 200, HUNTLEY, IL 601429545 (Tel: 8153386600)

📍
Updated Business Mailing Address March 17, 2018

Registered at 13707 W JACKSON ST, WOODSTOCK, IL 600983188 (Tel: 8153371871)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as PIUSHKUMAR PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #036108301 in IL)

📍
Updated Practice Location March 07, 2018

Registered at 10350 HALIGUS RD STE 200, HUNTLEY, IL 601429545 (Tel: 8153386600)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as PIUSHKUMAR PATEL, M.D.

NPI Profile Active April 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2009

Registered at 3707 DOTY RD, SUITE D, WOODSTOCK, IL 600987530 (Tel: 8153386600)

📍
Updated Business Mailing Address April 08, 2009

Registered at 13707 W JACKSON ST, WOODSTOCK, IL 600983188 (Tel: 8153371871)

👤
Provider Name / Credentials Updated April 08, 2009

Recorded as PIUSH PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2009

Internal Medicine (License #036108301 in IL)

🟢
Initial NPI Registration & Enumeration June 09, 2005

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: 1447254255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: October 19, 2018
Sole Proprietor: No

Mailing Address

10350 Haligus Rd Ste 200

Huntley, IL 601429545

Phone: 8153386600

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.