PAYAL PATEL (O.D.) – Optometrist, NPI 1013158674

PAYAL PATEL (O.D.) is a healthcare provider. based in Crystal lake, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13663 (CA). The NPI Number for PAYAL PATEL (O.D.) is 1013158674

Main info

Female
18 Years Of Experience
Name
PAYAL PATEL (O.D.)
NPI
1013158674
Phone
(847) 791-0396
Address
5765 NORTHWEST HWY
Enumeration Date
11 March 2009
Last Update Date
12 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303510085
Graduation Year
2008 (18 years ago)
PAC ID
1355495623
Group Practice PAC ID
0042350662
Professional Enrollment ID
I20090820000677
Address ID
IL601724212RO833XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for PAYAL PATEL (O.D.)

  • 5765, Northwest Highway, Crystal Lake, McHenry County, Illinois, 60014, United States

    CRYSTAL LAKE, IL 600148042

    Phone: (847) 791-0396

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090820000677IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042350662View full group profile
NameSpecialtyState
O P T O M E T R YIL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I cross-check PAYAL PATEL (O.D.) using NPI 1013158674?
NPI 1013158674 belongs to PAYAL PATEL (O.D.); compare other details if you need extra assurance.
Would PAYAL PATEL (O.D.) appear as active to a payer?
You can treat PAYAL PATEL (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to PAYAL PATEL (O.D.)?
PAYAL PATEL (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with PAYAL PATEL (O.D.)?
Directory geography for PAYAL PATEL (O.D.) centers on Crystal Lake, Illinois.
When was this NPI issued?
Enumeration for PAYAL PATEL (O.D.) is noted as March 11, 2009 where the registry provides it.

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