Individual provider Active NPI

Tejal B Patel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1053044222
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209025446 Issued in IL
Practice address
1927 Farnham CT
Schaumburg, IL 60194-2213
Phone
(224) 231-7746
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209025446 IL Primary

Addresses

Primary practice location

1927 Farnham CT
Schaumburg, IL 60194-2213

Mailing address

1927 Farnham CT
Schaumburg, IL 60194-2213
Phone (224) 231-7746

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
I20220725000755 IL Practitioner - Nurse Practitioner 6103207097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Hub LLCGroup PAC ID 3274817481, 16 clinicians

Practice addresses (Care Compare)

1909 Ogden Ave
Suite a
Downers Grove, IL 60515-2602
Phone (630) 750-7920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Hub, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

1909 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 750-7920

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1053044222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 FARNHAM CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942213",
            "telephone_number": "224-231-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 FARNHAM CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942213",
            "telephone_number": "224-231-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAL",
        "middle_name": "B",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209025446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.