Hemal K. Patel, MD
Gastroenterology Physician · Geneva, IL
Hemal K. Patel, MD is a gastroenterology physician with a practice address in Geneva, Illinois, and NPI 1548471600, issued on May 24, 2007. Check the license (Illinois 036-130068, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Hemal K. Patel
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 036-130068 IL
4301 085 722 MI
56789-20 WI
Self-reported in NPPES; status is on the state search - Practice location
- 302 Randall RD, Geneva, IL 60134
- Phone
- (630) 232-7400
- Enumerated
- May 24, 2007
- Record last updated
- Mar 16, 2022
- Fax
- (630) 262-3760
- Medicaid ID
- 1548471600 WI
- Medicare enrollment
- Enrolled (PECOS I20120606000339); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 887 in Illinois → Look up another NPI →
Also registered at 302 Randall RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Heather Anaya, DOMaternal & Fetal Medicine Physician1285890855
- Arvin Bhatia, MDGastroenterology Physician1841446788
- Steven Bielski, M.D.Endocrinology, Diabetes & Metabolism Physician1144227570
- Dean Bieniak, PA-CPhysician Assistant1386724581
- Andrew Bregman, MDGastroenterology Physician1982680013
- Kristina Bustamante, PHD, MA, BS, CCC-SLPSpeech-Language Pathologist1003206798
Verify Hemal K. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-130068Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
7% fewer Medicare Part D claims than the average gastroenterology physician in 2024
752 Medicare Part D claims for 367 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 28% of claims.
Most prescribed
- Peg 3350-Electrolyte163 claims
- Omeprazole155 claims
- Gavilyte-G41 claims
- Linzess35 claims
- Rabeprazole Sodium34 claims
- Pantoprazole Sodium31 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $380.12
6 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Central Dupage Physician GroupGeneva, IL
- Northwestern Medical Faculty FoundationWinfield, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hemal K. Patel among 887 gastroenterology physician records in Illinois
Hemal K. Patel, MD is one of 887 gastroenterology physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 48% of them.
- NPI issued2007 · 48% of these records are older, 45% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2004 · median 2003 among the 643 with a school on file
- Record last updated2022 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Illinois
There are 887 gastroenterology physician records in Illinois.
All 887 in Illinois → Every provider in Geneva → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Arvin Bhatia, MDGeneva, IL 601341841446788
- Andrew Bregman, MDGeneva, IL 601341982680013
- Paul Gekas, M.D.Geneva, IL 601341467450650
- Katherine Jelinek, M.D.Geneva, IL 601341750468591
- Faisal Khan, M.D.Geneva, IL 601341659396497
- Heliodoro Medina, MDGeneva, IL 601341740267756
- Sharif Zubair, MDGeneva, IL 601341316988033
- Ashish Arora, MDElmhurst, IL 601261336157171
Common questions
What is Hemal K. Patel, MD's NPI number?
Hemal K. Patel, MD's National Provider Identifier (NPI) is 1548471600, issued on May 24, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Hemal K. Patel, MD located?
The NPPES record lists a practice address at 302 Randall RD, Geneva, IL, 60134. Phone: (630) 232-7400. Providers update this record themselves, so call before visiting.
How can I verify Hemal K. Patel, MD's license?
NPPES lists Illinois license number 036-130068, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hemal K. Patel, MD prescribe under Medicare Part D?
In 2024, Hemal K. Patel, MD had 752 Medicare Part D claims for 367 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Hemal K. Patel, MD's MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.