PRAVIN-KUMAR PATEL (MD) – Plastic Surgery Physician, NPI 1760478325
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
Provider Addresses for PRAVIN-KUMAR PATEL (MD)
811 S PAULINA ST # MC588
CHICAGO, IL 606124353
Phone: (312) 996-9313
Type: Location
35422 EAGLE WAY
CHICAGO, IL 606781354
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $815.
Total Amount is formed as General ($815) + Research ($0) + Ownership ($0) = $815.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: KLS-Martin L.P. ($362).
Total Amount
$815
General + Research + Ownership
Payments
9
Total payment records
General Amount
$815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $362 |
| Integra LifeSciences Corporation | $210 |
| Zimmer Biomet Holdings, Inc. | $187 |
| Stryker Corporation | $56 |
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: 2026-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20051128000074 | I | Plastic And Reconstructive Surgery | IL | 2023-12-31 |
| I20260130000416 | I | Plastic And Reconstructive Surgery | MN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Radiation Oncology, Diagnostic Radiology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Endocrinology, Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Sleep Medicine | IL | |
| - | IL | |
| P A T H O L O G Y | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL |
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