NPPES file of Aug 9, 2026

Hetalben Hemal Patel, M.D.

Pediatrics Physician · Palatine, IL

Hetalben Hemal Patel, M.D. is a pediatrics physician with a practice address in Palatine, Illinois, and NPI 1295168896, issued on Aug 19, 2013. Check the license (Illinois 036131159, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295168896
Name
Hetalben Hemal Patel
Credential
M.D.
Primary taxonomy
Pediatrics Physician 208000000X
License numbers
036131159 IL
56959-20 WI
Self-reported in NPPES; status is on the state search
Practice location
770 E Dundee RD, Palatine, IL 60074
Phone
(608) 364-2200
Enumerated
Aug 19, 2013
Record last updated
Mar 2, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(608) 363-7395
Medicare enrollment
Enrolled (PECOS I20130913000474); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 770 E Dundee RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shima Chia, PA-CPhysician Assistant1174921266
  2. Helen Donnelly-Owens, FNPFamily Nurse Practitioner1811447923
  3. Allison Hunter, FNP-BCFamily Nurse Practitioner1831542703

Verify Hetalben Hemal Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036131159
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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92% fewer Medicare Part D claims than the average pediatrics physician in 2024

31 Medicare Part D claims for 25 beneficiaries, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D.

  1. Hetalben Patel31
  2. Specialty average375

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.

Industry payments in 2024: $14.72

1 payment: food and beverage; the largest payer was Abbott Laboratories. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Hetalben Patel$14.72
  2. Specialty average$842.05

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

  1. Epic Family Care PCStreamwood, IL
  2. Epic Urgent Care PCPalatine, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Hetalben Hemal Patel among 3,176 pediatrics physician records in Illinois

Hetalben Hemal Patel, M.D. is one of 3,176 pediatrics physician records with a practice address in Illinois. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 65% of them.

  • NPI issued2013 · 65% of these records are older, 33% newer
  • In a Medicare fileYes · 32% of these records are
  • In the CMS Doctors and Clinicians fileYes · 7% of these records are
  • Graduated2003 · median 2010 among the 235 with a school on file
  • Record last updated2020 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatrics Physician providers in Illinois

There are 3,176 pediatrics physician records in Illinois.

The 8 pediatrics physician records with the nearest ZIP codes

  1. Swati Bhobe, M.DPalatine, IL 600741407929797
  2. George KaliyadanRound Lake Beach, IL 600731679960959
  3. Felissa Kreindler, MDRound Lake Beach, IL 600731184664427
  4. Diana Maniev, M.D.Round Lake Beach, IL 600731609280502
  5. Teresita Mismanos, MDRound Lake Beach, IL 600731558346320
  6. Uchenna OsayimwenRound Lake Beach, IL 600731457517039
  7. Deborah Segil, MDRound Lake Beach, IL 600731154306470
  8. Jonathan Ahn, M.D.Skokie, IL 600761982868840

Common questions

What is Hetalben Hemal Patel, M.D.'s NPI number?

Hetalben Hemal Patel, M.D.'s National Provider Identifier (NPI) is 1295168896, issued on Aug 19, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Hetalben Hemal Patel, M.D. located?

The NPPES record lists a practice address at 770 E Dundee RD, Palatine, IL, 60074. Phone: (608) 364-2200. Providers update this record themselves, so call before visiting.

How can I verify Hetalben Hemal Patel, M.D.'s license?

NPPES lists Illinois license number 036131159, 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 Hetalben Hemal Patel, M.D. prescribe under Medicare Part D?

In 2024, Hetalben Hemal Patel, M.D. had 31 Medicare Part D claims for 25 beneficiaries; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.

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.