DR. POONAM PATEL (O.D.) – Optometrist, NPI 1295022127

DR. POONAM PATEL (O.D.) is a healthcare provider. based in Elk grove village, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004691 (MI). The NPI Number for DR. POONAM PATEL (O.D.) is 1295022127

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. POONAM PATEL (O.D.)
NPI
1295022127
Phone
(847) 912-5288
Address
903 CHRISTA CT
Enumeration Date
29 June 2011
Last Update Date
3 March 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8475191020
Graduation Year
2011 (15 years ago)
PAC ID
5597937300
Group Practice PAC ID
9032491246
Professional Enrollment ID
I20111019000961
Address ID
IL601734502SC850XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. POONAM PATEL (O.D.)

  • 903 CHRISTA CT

    ELK GROVE VILLAGE, IL 600073079

    Phone: (847) 912-5288

    Type: Mailing

  • 850 E GOLF RD

    SCHAUMBURG, IL 601734502

    Phone: (847) 519-1020

    Fax: (847) 519-0626

    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: 2011-10-19

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
I20111019000961IOptometryILTBD

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 60007)

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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: 9032491246View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YIL
O P T O M E T R YMI
-PA
O P T O M E T R YMN
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMN
O P T O M E T R YMI
O P T O M E T R YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. POONAM PATEL (O.D.)?
DR. POONAM PATEL (O.D.) — NPI 1295022127 — is the standard way to identify this listing.
Can I rely on DR. POONAM PATEL (O.D.) being an active provider?
As of the registry snapshot, DR. POONAM PATEL (O.D.) is marked active.
What is DR. POONAM PATEL (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. POONAM PATEL (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. POONAM PATEL (O.D.) based?
DR. POONAM PATEL (O.D.) is tied to Elk Grove Village, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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