NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1629528443
Verify on CMS → Sejalben Patel
Primary Care Nurse Practitioner in Chicago, 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 10,138 in Primary Care Nurse Practitioner, 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
462
Medicare Part D claims · 39 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sejalben Patel filed 462 Medicare Part D claims in 2023 as a Primary Care Nurse Practitioner in Chicago, Illinois, prescribing 88% generic.
- 462
- Part D claims, 2023
- 88%
- 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.
Sejalben Patel's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
462 Top 38% higher than 62% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Sejalben Patel?
Quality data not reportedPrimary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
462 66% vs specialty avg
Specialty distribution in Illinois
How Primary Care Nurse Practitioner compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Primary Care Nurse Practitioner. Verify directly:
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).
Sejalben Patel appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 6201 W TOUHY AVE, Chicago, IL, 60646, with a listed phone of (630) 915-1874. NPI 1629528443 was issued on 10/04/2016.
Medicare Part D records for calendar year 2023 show 462 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $17K in drug spend, split 12% brand-name and 88% generic by claim count.
Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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 | 1629528443 |
|---|---|
| Specialty | Primary Care Nurse Practitioner |
| Gender | Female |
| NPI Issued | 10/04/2016 |
Hospital and facility affiliations
Facilities where Sejalben Patel 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.
Cmc Healthcare LLC
Downers Grove, 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 Sejalben Patel. To verify Sejalben Patel'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 · Typical
Sejalben Patel - brand share 12.0%
Primary Care Nurse Practitioner average
12% brand-name claims vs 88% generic, on 462 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.
462
Total Claims
$17K
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 464
- Total Day Supply
- 7,245
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $13K
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 3.13
- Gender Split
- 67% female / 33% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sejalben Patel prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
65 claims
- Potassium Chloride
Potassium Chloride
60 claims
- Famotidine
Famotidine
44 claims
- Furosemide
Furosemide
35 claims
- Levothyroxine Sodium
Levothyroxine Sodium
31 claims
- Metformin Hcl
Metformin Hcl
28 claims
- Metoprolol Succinate 19
Metoprolol Succinate
19 claims
- Gabapentin 17
Gabapentin
17 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 65 |
| Potassium Chloride | 60 |
| Famotidine | 44 |
| Furosemide | 35 |
| Levothyroxine Sodium | 31 |
| Metformin Hcl | 28 |
| Metoprolol Succinate | 19 |
| Gabapentin | 17 |
| Allopurinol | 16 |
| Januvia Sitagliptin Phosphate | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Primary Care Nurse Practitioner Overview
How Sejalben Patel fits within the Primary Care Nurse Practitioner landscape nationally.
10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider
Sejalben Patel's 462 claims are below the specialty average of 1,363.
Nearby Primary Care Nurse Practitioner Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Patel.
Dr. Habtamu Abebe
APRN
Chicago, IL
Greta Abraham
North Chicago, IL
Dr. Ludyvina Acosta
FNP-BC
Aurora, IL
Dr. Edyta Adamiec
FNP-BC
Maywood, IL
Dr. Merchant Adams
A.P.N.
Park Ridge, IL
Compare Primary Care 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 Primary Care 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.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Sejalben Patel's specialty? ▼
Sejalben Patel specializes in Primary Care Nurse Practitioner and practices in Chicago, Illinois.
How much does Sejalben Patel prescribe under Medicare Part D? ▼
In 2023, Sejalben Patel wrote 462 Medicare Part D claims totaling $17K in drug costs for 39 beneficiaries.
Where is Sejalben Patel located? ▼
Sejalben Patel is located at 6201 W TOUHY AVE, Chicago, IL, 60646. Phone: (630) 915-1874.
What is Sejalben Patel's NPI number? ▼
Sejalben Patel's National Provider Identifier (NPI) is 1629528443, issued on 10/04/2016.
Does Sejalben Patel prescribe more brand-name or generic drugs? ▼
Sejalben Patel's prescribing is 12% brand-name and 88% generic drugs by claim count, with $13K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Sejalben Patel prescribe most often? ▼
Based on 2023 Medicare Part D data, Sejalben Patel's most frequently prescribed drugs include Atorvastatin Calcium, Potassium Chloride, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sejalben Patel accept Medicare? ▼
Sejalben Patel appears in CMS Medicare data with 462 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sejalben Patel's credentials? ▼
Sejalben Patel's NPI is 1629528443. 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.
- 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.