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Active NPI 1154386506 Individual Practitioner Male Practitioner

Dr. Kalpesh M Patel , MD

Internal Medicine • Plainfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kalpesh Patel, MD is a certified Internal Medicine practicing in Plainfield, IL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Patel delivers high-quality medical care to the local community at 12624 S ROUTE 59.

Dr. Patel is affiliated with Advanced Integrative Medicine and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12624 S Route 59

Plainfield, IL 605855448

Telephone 8155776446
Fax 8155776331
Associated Practice Facility / Clinic
🏢 Advanced Integrative Medicine Facility NPI 1497937536

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plainfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +2.7 yrs vs City Avg
City Avg: 23.3 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Plainfield, IL (7544 Statewide)

Telehealth Adoption Rate
40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (26 Years) 26 Yrs
Plainfield Specialty Average (23.3 Years) 23.3 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
509 131 $125.00 $109.19
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
417 108 $121.88 $108.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
163 68 $150.00 $129.07
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
145 49 $174.10 $128.04
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
135 131 $90.00 $54.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
107 95 $110.00 $75.18
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
99 51 $20.00 $16.63
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
89 57 $80.00 $42.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
80 50 $110.00 $74.79
99496 Transitional care management services for problem of high complexity
78 74 $300.00 $280.55
99496 Transitional care management services for problem of high complexity
53 53 $300.00 $190.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
40 18 $30.00 $14.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
37 13 $120.00 $117.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
35 35 $194.29 $132.25
G0444 Annual depression screening, 5 to 15 minutes
33 33 $25.00 $19.27
99497 Advance care planning, first 30 minutes
30 30 $120.00 $83.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
25 18 $250.00 $174.65
99238 Hospital discharge day management, 30 minutes or less
18 15 $125.00 $81.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 13 $220.00 $180.32
99213 Established patient office or other outpatient visit, typically 15 minutes
17 16 $120.00 $83.77
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
13 11 $145.77 $76.33
99316 Nursing facility discharge management, more than 30 minutes
12 12 $124.17 $121.67

Medical Specialties & State Licenses

CMS Verified: 2023-04-13
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036108691

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
036108691 (IL)
Commercial Insurance / Payer ID Bcbs
9932322 (IL)
Commercial Insurance / Payer ID Rr Medicare
P00258693 (IL)
Commercial Insurance / Payer ID Clia
14D1045386 (IL)

Hospital & Practice Group Affiliations

Advanced Integrative Medicine

2000 Ogden Ave, Aurora, IL 605047222

Phone: 6309786200

Advanced Integrative Medicine

2021 Randi Dr, Aurora, IL 605044758

Phone: 6304996000

Advanced Integrative Medicine

12624 S Route 59, Plainfield, IL 605855448

Phone: 8155776446

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Shefali Patel , DDS

Dentist - General Practice

NPI 1043387707

Doctor of Dental Surgery

Guadalupe Navarro , FNP

Nurse Practitioner

NPI 1215683693

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2014

Registered at 12624 S ROUTE 59, PLAINFIELD, IL 605855448 (Tel: 8155776446)

📍
Updated Business Mailing Address January 15, 2014

Registered at 12624 S ROUTE 59, PLAINFIELD, IL 605855448 (Tel: 8155776446)

👤
Provider Name / Credentials Updated January 15, 2014

Recorded as KALPESH PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2014

Internal Medicine (License #036108691 in IL)

🟢
Initial NPI Registration & Enumeration April 19, 2006

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: 1154386506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2006
Last Update: April 13, 2023
Sole Proprietor: Yes

Mailing Address

12624 S Route 59

Plainfield, IL 605855448

Phone: 8155776446

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.