Individual provider Active NPI

Dipa Patel, APRN, FNP-BC

  • Family Nurse Practitioner
  • Arlington Heights, IL
National Provider Identifier
1033857495
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.024299 Issued in IL
Practice address
1606 N Arlington Heights Rd
Arlington Heights, IL 60004-3908
Phone
(847) 797-8900
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 209.024299 IL Primary

Addresses

Primary practice location

1606 N Arlington Heights Rd
Arlington Heights, IL 60004-3908

Mailing address

3 Crestview Ter
Buffalo Grove, IL 60089-2107
Phone (773) 290-9903

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
I20220704000125 IL Practitioner - Nurse Practitioner 1658751912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024299ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Heights Internal Medicine SC CurrentSince Jul 11, 2022 Accepting new patients
Illinois Cancer Specialists PastSince May 29, 2022 Accepting new patients

Locations

1606 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 228-0575

1606 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 259-4482

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1033857495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CRESTVIEW TER",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892107",
            "telephone_number": "773-290-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043908",
            "telephone_number": "847-797-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.