Active NPI
Racheal M Patel, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209009323
- Practice address
- 12251 S 80TH Ave
Palos Heights, IL 60463-1290 - Phone
- (708) 923-4000
- Fax
- (708) 923-8848
- NPI assigned
- Dec 29, 2011
- Last updated
- Apr 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209009323 | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Mailing address
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087861 | Other | AANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671
701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novus Illinois Service Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Premier Anesthesia of Illinois Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tippecanoe Anesthesia Services LLC | Past | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1932089778
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1295491744
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1033488283
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1053680561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000",
"fax_number": "708-923-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000",
"fax_number": "708-923-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RACHEAL",
"middle_name": "M",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209009323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "087861",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.