PRITESH PATEL – Diagnostic Radiology Physician, NPI 1194969857

PRITESH PATEL is a healthcare provider. based in West bend, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 036128410 (IL). The NPI Number for PRITESH PATEL is 1194969857

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
PRITESH PATEL
NPI
1194969857
Phone
(262) 836-5533
Address
3200 Pleasant Valley Rd
Enumeration Date
26 April 2009
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2622573200
Graduation Year
2008 (18 years ago)
PAC ID
5991947657
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20230714002799
Address ID
WI530513518MEW180NRDXX405

Contacts

Secure Messaging
ppatelmd98375@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

1,101 DIAGNOSTIC RADIOLOGY in WI

Provider Addresses for PRITESH PATEL

  • 3200 Pleasant Valley Rd

    West Bend, WI 530959274

    Phone: (262) 836-5533

    Fax: (262) 836-7301

    Type: Location

  • W180N8085 Town Hall Rd

    Menomonee Falls, WI 530513518

    Phone: (262) 257-3060

    Fax: (262) 518-5052

    Type: Location

  • 1905 N Calhoun Rd

    Brookfield, WI 530055005

    Phone: (262) 754-8000

    Fax: (262) 780-3396

    Type: Location

  • 5402, Chateau Drive, Rolling Meadows, Elk Grove Township, Cook County, Illinois, 60008, United States

    APARTMENT #2

    ROLLING MEADOWS, IL 600084141

    Phone:

    Type: Mailing

  • 9200 W WISCONSIN AVE

    MILWAUKEE, WI 532263522

    Phone: (414) 805-2060

    Fax: (414) 259-9290

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $3,651.

Total Amount is formed as General ($3,651) + Research ($0) + Ownership ($0) = $3,651.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: GE HEALTHCARE ($3,651).

Total Amount

$3,651

General + Research + Ownership

Payments

4

Total payment records

General Amount

$3,651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GE HEALTHCARE$3,651
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: 2023-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140919002318IDiagnostic RadiologyILTBD
I20230714002799IDiagnostic RadiologyWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74177Ct scan of abdomen and pelvis with contrast204190$0
76770Complete ultrasound scan behind abdominal cavity169114$0
74018X-ray of abdomen, 1 view168139$0
76705Limited ultrasound scan of abdomen12091$0
71260Ct scan of chest with contrast113103$0
View full utilization report →

Insurance plans in this area (ZIP 53095)

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Provider's Procedures

PRITESH PATEL performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest3030
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast361331

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: 2668384371View full group profile

Reviews

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Frequently asked questions

What is the standard ID for PRITESH PATEL in the U.S.?
In the U.S., PRITESH PATEL is identified by NPI 1194969857.
Does the public listing show PRITESH PATEL as active?
PRITESH PATEL's NPI record reflects an active status in NPPES.
What does the directory say PRITESH PATEL does?
Insurance directories may phrase it differently, but here PRITESH PATEL maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PRITESH PATEL?
PRITESH PATEL is associated with West Bend, Wisconsin in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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