Active NPI
Nilam M Patel, PA-C
- Physician Assistant
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005768
- Practice address
- 4201 W Medical Center Dr
McHenry, IL 60050 - Phone
- (815) 344-5000
- NPI assigned
- Apr 20, 2012
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1716 | KY | |
| Physician Assistant | 363A00000X | 085005768 | IL | Primary |
Addresses
Primary practice location
4201 W Medical Center Dr
McHenry, IL 60050
Mailing address
10350 Haligus Rd
Huntley, IL 60142-9545
Phone (815) 338-6600
Other practice location 1
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3617
Other practice location 2
360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 338-6600
Other practice location 3
1925 Huntley Rd
West Dundee, IL 60118-9301
Phone (815) 338-6600
Other practice location 4
2507 N Richmond Rd
McHenry, IL 60051-5407
Phone (815) 338-6600
Other practice location 5
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 344-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085005768 | Other | IL | STATE LICENSE |
| 7100224850 | Medicaid | KY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 Haligus Rd
Huntley, IL 60142-9553
4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085005768 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
Organizations & group practices 4
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 Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Emergency Medicine Physician
- Geneva, IL
- NPI 1841395092
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053678557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 HALIGUS RD",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601429545",
"telephone_number": "815-338-6600",
"fax_number": "847-802-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "60050",
"telephone_number": "815-344-5000"
}
],
"practiceLocations": [
{
"address_1": "85 N Grand Ave",
"address_purpose": "LOCATION",
"city": "Fort Thomas",
"state": "KY",
"postal_code": "410751793",
"country_code": "US",
"telephone_number": "859-572-3617",
"fax_number": "859-572-2366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Station Dr",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "815-455-8044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1925 Huntley Rd",
"address_purpose": "LOCATION",
"city": "West Dundee",
"state": "IL",
"postal_code": "601189301",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "847-426-5162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2507 N Richmond Rd",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600515407",
"country_code": "US",
"telephone_number": "815-338-6600",
"fax_number": "815-385-3255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 W Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "60050",
"country_code": "US",
"telephone_number": "815-344-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NILAM",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA1716",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "085005768",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100224850",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.