2026 NPPES data Family Nurse Practitioner NPI 1164875183 ANP
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Himadri Patel, ANP

Family Nurse Practitioner in Chicago, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
386
Medicare Part D claims · 101 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.6/100
▲ 1 pts above national avg 83.1 · Above neutral

What the federal data shows

Himadri Patel, ANP reported a CMS MIPS final score of 84.6/100 — above the 83.1 national average — and filed 386 Medicare Part D claims in 2023.

84.6/100
MIPS score · +1 vs avg
386
Part D claims, 2023
54%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Himadri Patel, ANP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Himadri Patel, ANP sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Himadri Patel, ANP writes more Part D claims than 48% of them and scores higher on MIPS quality than 44% — placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Himadri Patel, ANP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Himadri Patel, ANP?

Near national average

NPI registry status

Active

Issued 07/14/2016

NPI 1164875183

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

386 68% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

84.6/100 1.5 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker5.2%Physical Therapist5%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist4.1%Family Nurse Practitioner3%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance — MIPS

Himadri Patel, ANP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
84.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 84.6/100 vs national avg 83.1

0%100%National avg83%84.6%
MIPS final score (Family Nurse Practitioner) — 84.6/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Himadri Patel, ANP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding ANP credentials at 1950 W POLK ST, Chicago, IL, 60612, with a listed phone of (312) 864-7162. NPI 1164875183 was issued on 07/14/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Patel most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 386 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 46% brand-name and 54% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.6/100 for the 2023 performance year (Quality 60.3, Cost 67), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1950 W POLK ST
Chicago, IL 60612

Provider Details

NPI 1164875183
Specialty Family Nurse Practitioner
Credentials ANP
Gender Female
NPI Issued 07/14/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.5729
Final Score
Avg: 83.1
60.2504
Quality
67.0015
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Himadri Patel, ANP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Cook County
Chicago, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to Himadri Patel, ANP. To verify Himadri Patel, ANP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Himadri Patel, ANP — brand share 46.0%
Family Nurse Practitioner average

46% brand-name claims vs 54% generic, on 386 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

386
Total Claims
$1.2M
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
637
Total Day Supply
18,541
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
1.54
Gender Split
80% female / 20% male
Age Distribution
<65: 25, 65-74: 55, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Himadri Patel, ANP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Humira Pen
Adalimumab
50
Methotrexate
Methotrexate Sodium
46
Prednisone
41
Humira
Adalimumab
33
Enbrel
Etanercept
28
Enbrel Sureclick
Etanercept
21
Leflunomide
18
Hydroxychloroquine Sulfate
15
Mycophenolate Mofetil
15
Orencia Clickject
Abatacept
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How Himadri Patel, ANP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Himadri Patel, ANP's 386 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Patel.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Himadri Patel, ANP's specialty?
Himadri Patel, ANP specializes in Family Nurse Practitioner and practices in Chicago, Illinois. Credentials: ANP.
How much does Himadri Patel, ANP prescribe under Medicare Part D?
In 2023, Himadri Patel, ANP wrote 386 Medicare Part D claims totaling $1.2M in drug costs for 101 beneficiaries.
What is Himadri Patel, ANP's Medicare quality score?
Himadri Patel, ANP has a CMS MIPS Final Score of 84.6/100 (Quality: 60.3, Cost: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Himadri Patel, ANP located?
Himadri Patel, ANP is located at 1950 W POLK ST, Chicago, IL, 60612. Phone: (312) 864-7162.
What is Himadri Patel, ANP's NPI number?
Himadri Patel, ANP's National Provider Identifier (NPI) is 1164875183, issued on 07/14/2016.
Does Himadri Patel, ANP prescribe more brand-name or generic drugs?
Himadri Patel, ANP's prescribing is 46% brand-name and 54% generic drugs by claim count, with $1.2M in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Himadri Patel, ANP prescribe most often?
Based on 2023 Medicare Part D data, Himadri Patel, ANP's most frequently prescribed drugs include Humira Pen, Methotrexate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Himadri Patel, ANP accept Medicare?
Himadri Patel, ANP appears in CMS Medicare data with 386 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Himadri Patel, ANP's credentials?
Himadri Patel, ANP's NPI is 1164875183 with credentials ANP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology