DR. PRIYANKA PATEL (OD) – Optometrist, NPI 1245073121

DR. PRIYANKA PATEL (OD) is a healthcare provider. based in Merrionette park, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011888 (IL). The NPI Number for DR. PRIYANKA PATEL (OD) is 1245073121

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRIYANKA PATEL (OD)
NPI
1245073121
Phone
(708) 388-4400
Address
11600 S Kedzie Ave Ste Candh
Enumeration Date
17 June 2024
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7083640020
Graduation Year
2024 (2 years ago)
PAC ID
7113467283
Group Practice PAC ID
7113829532
Professional Enrollment ID
I20240904003970
Address ID
IL604675744OR9731XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. PRIYANKA PATEL (OD)

  • 11600 S Kedzie Ave Ste Candh

    Merrionette Park, IL 608036307

    Phone: (708) 388-4400

    Type: Location

  • 1333 S WABASH AVE UNIT 2210

    CHICAGO, IL 606052630

    Phone:

    Type: Mailing

  • 2640 183RD ST

    HOMEWOOD, IL 604302914

    Phone: (708) 798-6633

    Fax: (708) 798-6790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-09-04

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
I20240904003970IOptometryILTBD

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 60803)

Loading plans...

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: 7113829532View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YIL
-IL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. PRIYANKA PATEL (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. PRIYANKA PATEL (OD) with NPI 1245073121.
Does the file indicate DR. PRIYANKA PATEL (OD) is practicing under active NPI?
Directory data currently reports DR. PRIYANKA PATEL (OD) as active.
What is DR. PRIYANKA PATEL (OD)'s specialty?
The listing groups DR. PRIYANKA PATEL (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. PRIYANKA PATEL (OD) list a practice location?
Patients near Merrionette Park, Illinois may find DR. PRIYANKA PATEL (OD) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

Similar Providers

900, West Springfield Road, Taylorville, Christian County, Illinois, 62568, United States
NPI: 1710980560
900, West Springfield Road, Taylorville, Christian County, Illinois, 62568, United States
NPI: 1144223983
Beverly Lane, Collinsville, Madison County, Illinois, 62234, United States
NPI: 1356344840
St Louis Road, Collinsville, Madison County, Illinois, 62212, United States
NPI: 1760486096
East Clark Street, Frankfort, West Frankfort, Franklin County, Illinois, 62896, United States
NPI: 1538161708
East Walnut Street, Carbondale, Jackson County, Illinois, 62901, United States
NPI: 1942202064
123, East 9th Street, Downtown Lockport, Lockport, Will County, Illinois, 60441, United States
NPI: 1649274366
9 S LINCOLNWAY
NPI: 1912902115