DR. TAKSHAKA PATEL (MD) – Colon & Rectal Surgery Physician, NPI 1053978809

DR. TAKSHAKA PATEL (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036176780 (IL). The NPI Number for DR. TAKSHAKA PATEL (MD) is 1053978809

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAKSHAKA PATEL (MD)
NPI
1053978809
Phone
(215) 707-3632
Address
3401 N BROAD ST
Enumeration Date
28 May 2019
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3476056854
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20250911003034
Address ID
IL602011700EV2650XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

167 COLORECTAL SURGERY (PROCTOLOGY) in PA

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Provider Addresses for DR. TAKSHAKA PATEL (MD)

  • Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-3632

    Type: Mailing

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Fax: (847) 570-5315

    Type: Mailing

  • 1948 THREE FARMS AVE

    NAPERVILLE, IL 605401105

    Phone: (630) 355-5633

    Fax: (630) 355-5215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $583.

Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Avita Medical Americas, LLC ($250).

Total Amount

$583

General + Research + Ownership

Payments

5

Total payment records

General Amount

$583

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2025-09-11

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
I20250911003034IColorectal Surgery (Proctology)ILTBD

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 19140)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Where can patients find DR. TAKSHAKA PATEL (MD)'s NPI?
You can confirm DR. TAKSHAKA PATEL (MD) with NPI 1053978809; it appears in the national provider directory.
Does this profile mean DR. TAKSHAKA PATEL (MD) is currently active?
Yes — DR. TAKSHAKA PATEL (MD) appears active in the national provider directory.
What field does DR. TAKSHAKA PATEL (MD) work in?
You can think of DR. TAKSHAKA PATEL (MD) as practicing within Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TAKSHAKA PATEL (MD)'s primary listing?
We display Philadelphia, Pennsylvania because that is what the record indicates for DR. TAKSHAKA PATEL (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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