Individual provider Active NPI

Jateen C Patel, M.D.

  • Pediatric Surgery Physician
  • Chicago, IL
National Provider Identifier
1013004670
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
036-128374 Issued in IL
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

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036-128374MedicaidIL
20333536MedicaidCO

Electronic endpoints 2

TypeEndpointUseAffiliation
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, KS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20111129000300 IL Practitioner - Pediatric MedicinePractitioner - General Surgery 8022049634 Reassigns benefits to 1 organization
I20120307000712 NY Practitioner - General SurgeryPractitioner - Pediatric Medicine 8022049634 Reassigns benefits to 1 organization
I20240113000341 SD Practitioner - Pediatric Medicine 8022049634 Reassigns benefits to 1 organization
I20251029002213 KS Practitioner - General Surgery 8022049634 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
41777COMDPediatric Surgery Physician
98543GAMDPediatric Surgery Physician
036-128374ILMDPediatric Surgery Physician
PT13390NDMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Dec 1, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Apr 21, 2025 Accepting new patients
Albany Medical College CurrentSince Oct 15, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Pediatric Specialty Clinic, LLC CurrentSince Oct 1, 2025 Accepting new patients
Avera McKennan CurrentSince Dec 1, 2023 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

  • Direct secure messaging: jpatel104428@albanymed.direct-ci.com
  • Direct secure messaging: jateen.patel@hca2.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.