Active NPI
Poojan Nilesh Patel, PA-C
- Physician Assistant
- Naperville, IL
National Provider Identifier
1043957228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.009045
- Practice address
- 100 Spalding Dr Ste 300
Naperville, IL 60540-6553 - Phone
- (630) 527-3200
- NPI assigned
- May 18, 2022
- Last updated
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.009045 | IL | Primary |
Addresses
Primary practice location
100 Spalding Dr Ste 300
Naperville, IL 60540-6553
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppatel249682@dulyhealthandcare.direct-ci.com | Direct | |
| Direct Messaging Address | ppatel191959@dulyhealthandcare.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.009045 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- ppatel191959@dulyhealthandcare.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1043957228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPALDING DR STE 300",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406553",
"telephone_number": "630-527-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "POOJAN",
"middle_name": "NILESH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.009045",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppatel249682@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Spalding Dr Ste 300",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406553",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppatel191959@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "100 Spalding Dr Ste 300",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406553",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.