Individual provider Active NPI

Ankit M Patel, MD

  • Otolaryngology Physician
  • Joliet, IL
National Provider Identifier
1083697692
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Practice address
2201 Glenwood Ave
Joliet, IL 60435-5574
Phone
(815) 725-1191
Fax
(815) 725-2048
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X IL Primary

Addresses

Primary practice location

2201 Glenwood Ave
Joliet, IL 60435-5574

Mailing address

2201 Glenwood Ave
Joliet, IL 60435-5574
Phone (815) 725-1191

Other identifiers 4

IdentifierTypeStateIssuer
K08805OtherILWILL CO MEDICARE PROV #
DC1387OtherILRR MEDICARE
P00150113OtherILRR MEDICARE PROV ID#
K08804OtherILGRUNDY CO MEDICARE PROV #

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001375 IL Practitioner - Otolaryngology 1153396080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ENT Surgical Consultants LTDGroup PAC ID 2668446584, 16 clinicians

Practice addresses (Care Compare)

2201 Gleenwood Ave
Joliet, IL 60435-5574
Phone (815) 725-1191

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-111480ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Surgical Consultants, LTD Otolaryngology CurrentSince Sep 1, 2004 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2201 Glenwood Ave
Joliet, IL 60435
Phone (815) 725-1191

960 W US Route 6
Morris, IL 60450

1890 Silver Cross Blvd
Ste 435
New Lenox, IL 60451
Phone (815) 725-1191

15300 West Ave
Ste 305
Orland Park, IL 60462
Phone (708) 349-5500

Interoperability endpoints

  • Direct secure messaging: ankitpatel@entsc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1083697692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-1191",
            "fax_number": "815-725-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-1191",
            "fax_number": "815-725-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKIT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILL CO MEDICARE PROV #",
            "identifier": "K08805",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC1387",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROV ID#",
            "identifier": "P00150113",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRUNDY CO MEDICARE PROV #",
            "identifier": "K08804",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.