KOMALBEN SURESHKUMAR PATEL – Physical Therapist, NPI 1053918953

KOMALBEN SURESHKUMAR PATEL is a healthcare provider. based in South elgin, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 044368 (NY). The NPI Number for KOMALBEN SURESHKUMAR PATEL is 1053918953

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KOMALBEN SURESHKUMAR PATEL
NPI
1053918953
Phone
(773) 219-9679
Address
764 E Thornwood Dr
Enumeration Date
4 October 2020
Last Update Date
4 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736926400
Graduation Year
2022 (4 years ago)
PAC ID
4880118819
Group Practice PAC ID
0749535805
Professional Enrollment ID
I20250410002896
Address ID
NJ070473223NO5665XBOUL301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for KOMALBEN SURESHKUMAR PATEL

  • 764 E Thornwood Dr

    South Elgin, IL 601773241

    Phone: (773) 219-9679

    Type: Location

  • 764 E THORNWOOD DR

    SOUTH ELGIN, IL 601773241

    Phone: (773) 219-9679

    Type: Mailing

  • 224 BEACH 20TH ST

    FAR ROCKAWAY, NY 116913618

    Phone: (347) 926-4037

    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: 2025-04-10

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
I20250410002896IPhysical Therapist In Private PracticeNJTBD

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 60177)

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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: 0749535805View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeIN
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY
-NJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Does KOMALBEN SURESHKUMAR PATEL have a public NPI I can cite?
Public records show KOMALBEN SURESHKUMAR PATEL under NPI 1053918953.
Quick check: is KOMALBEN SURESHKUMAR PATEL active?
Public NPPES data shows KOMALBEN SURESHKUMAR PATEL with an active NPI status right now.
What does the directory say KOMALBEN SURESHKUMAR PATEL does?
Insurance directories may phrase it differently, but here KOMALBEN SURESHKUMAR PATEL maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KOMALBEN SURESHKUMAR PATEL?
The directory associates KOMALBEN SURESHKUMAR PATEL with South Elgin, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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