Individual provider Active NPI

Amitaben Patel

  • Family Nurse Practitioner
  • Des Plaines, IL
National Provider Identifier
1033642251
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015618 Issued in IL
Practice address
2250 E Devon Ave Ste 333
Des Plaines, IL 60018
Phone
(224) 803-2273
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015618 IL Primary

Addresses

Primary practice location

2250 E Devon Ave Ste 333
Des Plaines, IL 60018

Mailing address

2250 E Devon Ave Ste 333
Des Plaines, IL 60018-4532

Other practice location 1

33 W Higgins Rd Ste 2000
South Barrington, IL 60010-9121
Phone (224) 805-3812

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
I20180131000531 IL Practitioner - Nurse Practitioner 6709146350 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209015618ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 14, 2023 Accepting new patients
Bridgecare, Inc. CurrentSince May 22, 2018 Accepting new patients

Locations

2250 E Devon Ave
Ste 333
Des Plaines, IL 60018
Phone (224) 803-2273

1645 S River Rd
Ste 2
Des Plaines, IL 60018
Phone (224) 803-2273

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 2

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1033642251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E DEVON AVE STE 333",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E DEVON AVE STE 333",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "224-803-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W Higgins Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "South Barrington",
            "state": "IL",
            "postal_code": "600109121",
            "country_code": "US",
            "telephone_number": "224-805-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMITABEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.