Active NPI
Khushbu Patel, NP-BC
- Family Nurse Practitioner
- Elk Grove VLG, IL
National Provider Identifier
1043815624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209017988
- Practice address
- 930 Elk Grove Town Ctr
Elk Grove VLG, IL 60007-3754 - Phone
- (800) 323-8622
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209017988 | IL | Primary |
Addresses
Primary practice location
930 Elk Grove Town Ctr
Elk Grove VLG, IL 60007-3754
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
7545 S Madison St Ste 16
Burr Ridge, IL 60527-5552
Phone (708) 846-4972
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | kpatel286361@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1043815624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 ELK GROVE TOWN CTR",
"city": "ELK GROVE VLG",
"state": "IL",
"postal_code": "600073754",
"telephone_number": "800-323-8622"
}
],
"practiceLocations": [
{
"address_1": "7545 S Madison St Ste 16",
"address_purpose": "LOCATION",
"city": "Burr Ridge",
"state": "IL",
"postal_code": "605275552",
"country_code": "US",
"telephone_number": "708-846-4972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KHUSHBU",
"credential": "NP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2022-07-27",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209017988",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "930 Elk Grove Town Ctr",
"city": "Elk Grove Vlg",
"state": "IL",
"country_code": "US",
"postal_code": "600073754",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpatel286361@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "930 Elk Grove Town Ctr",
"city": "Elk Grove Vlg",
"state": "IL",
"country_code": "US",
"postal_code": "600073754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elk Grove VLG, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.