NPPES file of Aug 9, 2026

Pinalkumar V. Patel, M.D.

Hospitalist Physician · Dekalb, IL

Pinalkumar V. Patel, M.D. is a hospitalist physician with a practice address in Dekalb, Illinois, and NPI 1558593582, issued on Aug 8, 2009. Check the license (Illinois 036141291, 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 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1558593582
Name
Pinalkumar V. Patel
Credential
M.D.
Primary taxonomy
Hospitalist Physician 208M00000X
License numbers
036141291 IL
38957 IA
Self-reported in NPPES; status is on the state search
Practice location
1 Kish Hospital Dr, Dekalb, IL 60115
Phone
(815) 756-1521
Enumerated
Aug 8, 2009
Record last updated
Nov 30, 2023
Fax
(815) 748-5789
Medicare enrollment
Enrolled (PECOS I20170418002618); accepts Medicare assignment
Medical or professional school
Baltimore Medical College, 2004
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 1 Kish Hospital Dr

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

  1. Syed Abdur-Rahman, MDHospitalist Physician1538658729
  2. Christopher Adams, CRNACertified Registered Nurse Anesthetist1326182635
  3. Tiffany Adamson, APRN, FNP-BCNurse Practitioner1679299606
  4. Talha Ahmed, DOEmergency Medicine Physician1225560733
  5. Estefany AndersonPhysical Therapist1689127318
  6. David Anthony, M.D., M.P.H.Emergency Medicine Physician1649437682

Verify Pinalkumar V. 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 036141291
    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

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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47% fewer Medicare Part D claims than the average hospitalist physician in 2024

277 Medicare Part D claims for 145 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 23 claims were for opioids.

  1. Pinalkumar Patel277
  2. Specialty average521

Most prescribed

  1. Cefuroxime20 claims
  2. Pantoprazole Sodium20 claims
  3. Hydrocodone-Acetaminophen17 claims
  4. Amlodipine Besylate13 claims
  5. Amoxicillin-Clavulanate Potass13 claims
  6. Atorvastatin Calcium12 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.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Central Dupage Physician GroupDekalb, IL
  2. Northwestern Medical Faculty FoundationDekalb, IL

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

Pinalkumar V. Patel among 1,535 hospitalist physician records in Illinois

Pinalkumar V. Patel, M.D. is one of 1,535 hospitalist physician records with a practice address in Illinois. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 26% of them.

  • NPI issued2009 · 26% of these records are older, 70% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 87% of these records are
  • Graduated2004 · median 2013 among the 1,339 with a school on file
  • Record last updated2023 · 32% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

23 hospitalist physician records list a practice address in Dekalb

They are 23 of the 936 NPPES records with a practice address in Dekalb, and 1,535 hospitalist physician records in Illinois.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Syed Abdur-Rahman, MDDekalb, IL 601151538658729
  2. Munjum Ashu, M.DDekalb, IL 601151295153922
  3. Ikechukwu ChinemeDekalb, IL 601151306156856
  4. Rashad Hammour, MDDekalb, IL 601151396234571
  5. Senuri Layer, MDDekalb, IL 601151982051017
  6. Faysal MassarwehDekalb, IL 601151851759922
  7. Rehan Mohammed, M.D.Dekalb, IL 601151356511901
  8. Anand Morker, M.D.Dekalb, IL 601151083877732

Common questions

What is Pinalkumar V. Patel, M.D.'s NPI number?

Pinalkumar V. Patel, M.D.'s National Provider Identifier (NPI) is 1558593582, issued on Aug 8, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Pinalkumar V. Patel, M.D. located?

The NPPES record lists a practice address at 1 Kish Hospital Dr, Dekalb, IL, 60115. Phone: (815) 756-1521. Providers update this record themselves, so call before visiting.

How can I verify Pinalkumar V. Patel, M.D.'s license?

NPPES lists Illinois license number 036141291, 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 Pinalkumar V. Patel, M.D. prescribe under Medicare Part D?

In 2024, Pinalkumar V. Patel, M.D. had 277 Medicare Part D claims for 145 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Pinalkumar V. Patel, M.D.'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.