KETAN PATEL (MD) – Internal Medicine Physician, NPI 1114910528

KETAN PATEL (MD) is a healthcare provider. based in Princeton, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036083069 (IL). The NPI Number for KETAN PATEL (MD) is 1114910528

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
KETAN PATEL (MD)
NPI
1114910528
Phone
(815) 872-1221
Address
530 PARK AVE E
Enumeration Date
31 August 2005
Last Update Date
15 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096835050
Graduation Year
1985 (41 years ago)
PAC ID
4082525696
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20040126000068
Address ID
IL616157829PE8600X91XX401

Contacts

Secure Messaging
ketan.patel@perry.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for KETAN PATEL (MD)

  • 530, Park Avenue East, Princeton, Bureau County, Illinois, 61356, United States

    STE 101

    PRINCETON, IL 613563901

    Phone: (815) 872-1221

    Fax: (815) 872-2304

    Type: Location

  • 530 Park Ave E

    Princeton, IL 61356

    Phone: (815) 875-2811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($115).

Total Amount

$115

General + Research + Ownership

Payments

6

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-01-26

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
I20040126000068IInternal MedicineILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only987712$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12670$0
99239Hospital discharge day management, more than 30 minutes9182$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8780$0
99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes5149$0
View full utilization report →

Insurance plans in this area (ZIP 61356)

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Provider's Procedures

KETAN PATEL (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1285893

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: 3678889789View full group profile

Reviews

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Frequently asked questions

Can I cross-check KETAN PATEL (MD) using NPI 1114910528?
NPI 1114910528 belongs to KETAN PATEL (MD); compare other details if you need extra assurance.
Would KETAN PATEL (MD) appear as active to a payer?
You can treat KETAN PATEL (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KETAN PATEL (MD)?
KETAN PATEL (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is KETAN PATEL (MD) registered?
Use Princeton, Illinois as the headline location for KETAN PATEL (MD) here.
Can I trust this NPI listing for KETAN PATEL (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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