MITALI PATEL – Physical Therapist, NPI 1023671047

MITALI PATEL is a healthcare provider. based in Hanover park, Illinois. specializing in Physical Therapist. They hold a License No. 094646 (IA). The NPI Number for MITALI PATEL is 1023671047

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MITALI PATEL
NPI
1023671047
Phone
(630) 777-6593
Address
4045 FORT DEARBORN CT
Enumeration Date
16 April 2019
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475193485
Graduation Year
2018 (8 years ago)
PAC ID
2668715988
Group Practice PAC ID
8325014020
Professional Enrollment ID
I20200225002298
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for MITALI PATEL

  • 4045, Fort Dearborn Court, Hanover Park, DuPage County, Illinois, 60133, United States

    HANOVER PARK, IL 601336724

    Phone: (630) 777-6593

    Type: Mailing

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 1951, West 25th Street, Yuma, Yuma County, Arizona, 85364, United States

    YUMA, AZ 853646925

    Phone: (928) 726-7900

    Type: Location

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: 2021-12-28

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
I20211228001605IPhysical Therapist In Private PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities58573$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes52165$0
97140Therapy procedure using manual technique, each 15 minutes40863$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11223$0
97162Evaluation for physical therapy, typically 30 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 60133)

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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: 8325014020View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL

Reviews

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Frequently asked questions

How do payers reference MITALI PATEL?
For MITALI PATEL, use NPI 1023671047 as the unique 10-digit identifier.
Would MITALI PATEL appear as active to a payer?
You can treat MITALI PATEL as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MITALI PATEL?
MITALI PATEL is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is MITALI PATEL registered?
Use Hanover Park, Illinois as the headline location for MITALI PATEL here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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