Individual provider Active NPI

Shivani Patel, PAC

  • Physician Assistant
  • Mount Prospect, IL
National Provider Identifier
1023301454
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-003973 Issued in IL
Practice address
1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone
(847) 823-3185
Fax
(847) 823-3318
NPI assigned
May 18, 2011
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-003973 IL Primary

Addresses

Primary practice location

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036

Mailing address

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone (847) 823-3185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shivanipatel@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000844 IL Practitioner - Physician Assistant 3173791761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exhale Sinus PLLCGroup PAC ID 9133550635, 8 clinicians

Practice addresses (Care Compare)

814 E Woodfield Rd
Schaumburg, IL 60173-4714
Phone (773) 234-5880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085-003973ILMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1023301454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shivanipatel@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "900 Rand Rd",
            "address_2": "Ste 120",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600162359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.