DR. PRATIBHA B PATEL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1265693790
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PRATIBHA B PATEL (DPM)
3010 GRAND AVE
WAUKEGAN, IL 600852321
Phone: (847) 377-8000
Type: Location
3333 GREEN BAY RD
HSB L.648
NORTH CHICAGO, IL 600643037
Phone: (224) 570-7219
Type: Mailing
West Devon Avenue, Forest Glen, Chicago, Jefferson Township, Cook County, Illinois, 60712, United States
CHICAGO, IL 606464149
Phone: (773) 792-9300
Fax: (773) 792-9302
Type: Mailing
Edgebrook Medical Building, 5320-5330, West Devon Avenue, Edgebrook, Forest Glen, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States
SUITE 10
CHICAGO, IL 606464148
Phone: (773) 792-9300
Fax: (773) 792-9302
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: 2009-02-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090209000459 | I | Podiatry | IL | TBD |
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.
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 60085)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 11056 | Removal of 2 to 4 thickened skin growths | 55 | 18 |
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