NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1780670166 M.D.
Verify on CMS → Kaushikbhai Patel, M.D.
Hematology (Internal Medicine) Physician in Aurora, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,436 in Hematology (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
197
Medicare Part D claims · 92 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
MIPS score
83/100
▼ 0 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kaushikbhai Patel, M.D. reported a CMS MIPS final score of 83/100 - below the 83.1 national average - and filed 197 Medicare Part D claims in 2023.
- 83/100
- MIPS score · 0 vs avg
- 197
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Kaushikbhai Patel, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 39th percentile higher than 39% of 477,587 scored providers
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 Kaushikbhai Patel, M.D. sits
This provider among hematology (internal medicine) physician peers
Across the 570 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kaushikbhai Patel, M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 48% - 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
Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is Kaushikbhai Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kaushikbhai Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Kaushikbhai Patel, M.D.?
Near national averagePrimary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
197 72% vs specialty avg
MIPS final score
83/100 0.1 pts vs avg
Specialty distribution in Illinois
How Hematology (Internal Medicine) Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Kaushikbhai Patel, M.D.'s 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average
- MIPS Final Score
- 83/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology (Internal Medicine) Physician) - 83/100 vs national avg 83.1
How MIPS and board certification work
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).
Kaushikbhai Patel, M.D. appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding M.D. credentials at 2000 OGDEN AVE, Aurora, IL, 60504, with a listed phone of (630) 978-6250. NPI 1780670166 was issued on 09/21/2005.
Medicare Part D records for calendar year 2023 show 197 prescription claims written by this provider, covering 92 Medicare beneficiaries and totaling roughly $773K in drug spend, with an opioid prescribing rate of 7.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83/100 for the 2023 performance year (Quality 87.1, Cost 57.1), compared with the national average of 83.1.
Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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
Provider Details
| NPI | 1780670166 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 09/21/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.9973
Final Score
Avg: 83.1
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kaushikbhai Patel, M.D. 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.
Northwestern Medical Faculty Foundation
Huntley, 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 Kaushikbhai Patel, M.D.. To verify Kaushikbhai Patel, M.D.'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
197
Total Claims
$773K
Total Drug Cost
92
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 239
- Total Day Supply
- 6,547
- Generic Drug Cost
- $70K
- Opioid Claims
- 15 (7.6% rate)
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 2.55
- Gender Split
- 47% female / 53% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Acyclovir | 13 |
| Levothyroxine Sodium | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hematology (Internal Medicine) Physician in IL →
All providers in Illinois →
Compare specialties →
Hematology (Internal Medicine) Physician Overview
How Kaushikbhai Patel, M.D. fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider
Kaushikbhai Patel, M.D.'s 197 claims are below the specialty average of 693.
Nearby Hematology (Internal Medicine) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Patel.
Dr. Rosalinda Aloran
M.D.
Elmwood Park, IL
Dr. Saad Arain
M.D.
Evanston, IL
Dr. Alyssa Ceilesh
D.O.
Rockford, IL
Dr. Fahrettin Covut
M.D.
Rockford, IL
Dr. Irene Dehghan-Paz
MD
Chicago, IL
Compare Hematology (Internal Medicine) Physician 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 Hematology (Internal Medicine) Physician 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.
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Frequently Asked Questions
What is Kaushikbhai Patel, M.D.'s specialty? ▼
Kaushikbhai Patel, M.D. specializes in Hematology (Internal Medicine) Physician and practices in Aurora, Illinois. Credentials: M.D..
How much does Kaushikbhai Patel, M.D. prescribe under Medicare Part D? ▼
In 2023, Kaushikbhai Patel, M.D. wrote 197 Medicare Part D claims totaling $773K in drug costs for 92 beneficiaries.
What is Kaushikbhai Patel, M.D.'s Medicare quality score? ▼
Kaushikbhai Patel, M.D. has a CMS MIPS Final Score of 83/100 (Quality: 87.1, Cost: 57.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kaushikbhai Patel, M.D. located? ▼
Kaushikbhai Patel, M.D. is located at 2000 OGDEN AVE, Aurora, IL, 60504. Phone: (630) 978-6250.
What is Kaushikbhai Patel, M.D.'s NPI number? ▼
Kaushikbhai Patel, M.D.'s National Provider Identifier (NPI) is 1780670166, issued on 09/21/2005.
Does Kaushikbhai Patel, M.D. prescribe opioids? ▼
Yes, Kaushikbhai Patel, M.D. had 15 opioid claims in 2023 with an opioid prescribing rate of 7.6%.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does Kaushikbhai Patel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Kaushikbhai Patel, M.D.'s most frequently prescribed drugs include Acyclovir, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kaushikbhai Patel, M.D. accept Medicare? ▼
Kaushikbhai Patel, M.D. appears in CMS Medicare data with 197 Part D claims and 92 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kaushikbhai Patel, M.D.'s credentials? ▼
Kaushikbhai Patel, M.D.'s NPI is 1780670166 with credentials M.D.. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.