Active NPI
Jateen C Patel, M.D.
- Pediatric Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 036-128374
- Practice address
- 8201 East Riverside Blvd
Chicago, IL 60673-1019 - Phone
- (815) 971-7000
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 98543 | GA | |
| Pediatric Surgery Physician | 2086S0120X | 41777 | CO | |
| Pediatric Surgery Physician | 2086S0120X | PT13390 | ND | |
| Pediatric Surgery Physician | 2086S0120X | 036-128374 | IL | Primary |
Addresses
Primary practice location
8201 East Riverside Blvd
Chicago, IL 60673-1019
Mailing address
29624 Network PL
Chicago, IL 60673-1296
Phone (608) 756-6278
Other practice location 1
1555 Barrington Rd
Doctors Bldg 1, Suite 415
Hoffman Estates, IL 60169-1019
Phone (847) 490-4222
Other practice location 2
400 N 9th St
Springfield, IL 62702-5310
Phone (217) 545-8000
Other practice location 3
1350 Charles Street
Rockford, IL 61104
Phone (779) 696-0600
Other practice location 4
1180 Ernest W Barrett Pkwy NW Ste 102E
Kennesaw, GA 30144-4534
Phone (678) 594-7337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-128374 | Medicaid | IL | |
| 20333536 | Medicaid | CO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpatel956475@direct.uwhealth.org | ||
| Direct Messaging Address | jpatel548911@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, SD, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41777 | CO | MD | Pediatric Surgery Physician |
| 98543 | GA | MD | Pediatric Surgery Physician |
| 036-128374 | IL | MD | Pediatric Surgery Physician |
| PT13390 | ND | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Pediatric Specialty Clinic, LLC | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
12200 W 106th St
Ste 210
Overland Park, KS 66215
Phone (913) 327-1117
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- AL HMO D-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL HMO C-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Interoperability endpoints
- jpatel104428@albanymed.direct-ci.com
- jateen.patel@hca2.eclinicaldirectplus.com
- sbajpai1256665@direct.uwhealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Pediatrics Physician
- Overland Park, KS
- NPI 1699922203
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Pierre
- Multi-Specialty Clinic/Center
- Pierre, SD
- NPI 1780829283
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1013004670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29624 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731296",
"telephone_number": "608-756-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 EAST RIVERSIDE BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731019",
"telephone_number": "815-971-7000"
}
],
"practiceLocations": [
{
"address_1": "1555 Barrington Rd",
"address_2": "Doctors Bldg 1, Suite 415",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601691019",
"country_code": "US",
"telephone_number": "847-490-4222",
"fax_number": "847-490-4225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N 9th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025310",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Charles Street",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "61104",
"country_code": "US",
"telephone_number": "779-696-0600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1180 Ernest W Barrett Pkwy NW Ste 102E",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301444534",
"country_code": "US",
"telephone_number": "678-594-7337",
"fax_number": "770-794-6652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JATEEN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "GA",
"license": "98543",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CO",
"license": "41777",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "ND",
"license": "PT13390",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "IL",
"license": "036-128374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-128374",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20333536",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpatel956475@direct.uwhealth.org",
"affiliation": "N",
"address_1": "1350 Charles Street",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "61104",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpatel548911@directwellstar.org",
"affiliation": "N",
"address_1": "1180 Ernest W Barrett Pkwy NW Ste 102E",
"city": "Kennesaw",
"state": "GA",
"country_code": "US",
"postal_code": "301444534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.