Khushroo E Patel, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

36041521 Issued in IL

Practice address

9301 Golf Rd
Suite 204
Des Plaines, IL 60016-1667

Phone

(847) 297-3347

Fax

(847) 297-8476

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sumac Surgical Associates LTD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Des Plaines, IL
  • NPI 1730372657
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1013036862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 POST RD",
            "address_2": "SUITE 204",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626204",
            "telephone_number": "847-809-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 204",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-297-3347",
            "fax_number": "847-297-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHUSHROO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "36041521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "363712413",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041521",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2160211134",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hasumati D Patel, M.D.
• Hina Patel
• Jalpabahen Alkesh Patel, M.D.
• Jesal S. Patel, M.D.
• Kalpeshbhai S Patel
• Krishna Patel, DO
• Kunal B Patel, PHARMD
• Lisa Patel, FNP-BC, PHMNP-BC
• Monika Patel
• Nigam Patel, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.