Individual provider Active NPI

Pinal Patel, FNP

  • Family Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1063289908
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.028438 Issued in IL
Practice address
3901 Glenview Rd
Glenview, IL 60025-2467
Phone
(847) 729-0000
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.028438 IL Primary

Addresses

Primary practice location

3901 Glenview Rd
Glenview, IL 60025-2467

Mailing address

3101 N Ridgeway Ave Apt 3B
Chicago, IL 60618-9762
Phone (224) 848-2265

Other practice location 1

4712 Laurel Ave
Glenview, IL 60025-1419
Phone (847) 786-8336

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
I20240308002392 IL Practitioner - Nurse Practitioner 5799121091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Medical Consultants PCGroup PAC ID 8426449950, 13 clinicians

Practice addresses (Care Compare)

4712 Laurel Ave
Glenview, IL 60025-1419
Phone (847) 943-9508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.028438ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Top Medical Consultants PC CurrentSince Jan 8, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1063289908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N RIDGEWAY AVE APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606189762",
            "telephone_number": "224-848-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GLENVIEW RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252467",
            "telephone_number": "847-729-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4712 Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600251419",
            "country_code": "US",
            "telephone_number": "847-786-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PINAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.