Active NPI 1801102678 Individual Practitioner Female Practitioner

Dr. Pratiksha Trivedi , MD

General Practice • Wheaton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Pratiksha Trivedi, MD is a registered healthcare professional specializing in General Practice in Wheaton, IL. Practice services are available at 1751 S NAPERVILLE RD under active NPI credentials.

Frequently performed procedures and clinical services include 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, 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, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1751 S Naperville Rd
Ste 107

Wheaton, IL 601895896

Telephone 6306829700

Fax 6306823771

Associated Practice Facility / Clinic

🏢 Dupage Mental Health Services, Ltd. Facility NPI 1598808974

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wheaton, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 41.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Wheaton, IL (355 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
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	30	29	$90.00	$55.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	57	53	$90.00	$54.09
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	31	22	$75.00	$43.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	82	66	$90.00	$56.15
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	69	47	$75.00	$43.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	83	75	$90.00	$56.41
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	57	39	$75.00	$43.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	21	14	$75.00	$42.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	50	32	$75.00	$43.07
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	26	24	$90.00	$56.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	222	111	$75.00	$43.16
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	110	104	$90.00	$55.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,289	59	$52.97	$24.87
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,256	58	$47.98	$30.61
97012 Application of mechanical traction to 1 or more areas	314	46	$32.00	$12.83
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	253	133	$75.00	$41.94
97116 Walking training to 1 or more areas, each 15 minutes	192	47	$42.00	$21.41
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	174	161	$90.00	$54.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	35	$63.00	$44.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$152.00	$112.33
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$105.00	$74.40

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036-129354

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Anesthesiology - Pain Medicine

NUCC Taxonomy Code: 207LP2900X

State License IL 036.129354

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036129354 (IL)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Laura Rachwalski

Nurse Practitioner

NPI 1215321435

Dr. Jeffrey Winternheimer , DC

Chiropractor

NPI 1508830555

Doctor of Chiropractic

Priya Shah

Physical Therapist

NPI 1891347241

Mariam Husain , PT

Physical Therapist

NPI 1912542317

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2015

Registered at 1751 S NAPERVILLE RD, STE 107, WHEATON, IL 601895896 (Tel: 6306829700)

📍

Updated Business Mailing Address February 23, 2015

Registered at 1751 S NAPERVILLE RD, STE. 200, WHEATON, IL 601895896 (Tel: 6302210200)

👤

Provider Name / Credentials Updated February 23, 2015

Recorded as PRATIKSHA TRIVEDI, MD.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Anesthesiology (License #036.129354 in IL)

🟢

Initial NPI Registration & Enumeration August 31, 2010

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: 1801102678

Entity Type:

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

Enumeration Date: August 31, 2010

Last Update: February 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1751 S Naperville Rd, Ste. 200

Wheaton, IL 601895896

Phone: 6302210200

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.