Look up the most recent NPI and PECOS records

Kavita Pravin Patel

Family Medicine

Allopathic & Osteopathic Physicians

9550 W 167th St Ste 100, Orland Park, IL 60467-5561

PECOS Enrollment

This provider is enrolled in PECOS as KAVITA PATEL.

Based on the most recent information from CMS, provider Kavita Pravin Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1154959435
Provider Type
Individual
Full Name
Patel, Kavita Pravin
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/31/2020
Last Updated
9/20/2023

Contact Information

Practice Location

9550 W 167th St Ste 100, Orland Park, IL 60467-5561

(708) 873-4500

(708) 873-4504

Mailing Location

29373 Network Pl, Chicago, IL 60673-1293

(847) 390-5900

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036165773 Illinois

Kavita Pravin Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

William Mikaitis Md Sc

Reeves Richardson, Tanya

Gerry, Donald R

Koth, Haley Marie

John F Olivieri Md Sc

St James Hospital United States Catholic Conference

Ulleweit, Bernadette

Dr. Susan Rife Family Medicine Sc

Kaczor, Sonia K

Panozzo, John A