Active NPI
Jiten Jayantilal Patel, M.D.
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1083799498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036119252
- Practice address
- 8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631 - Phone
- (773) 355-5300
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036119252 | IL | Primary |
Addresses
Primary practice location
8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631
Mailing address
1355 Marco CT
Darien, IL 60561-8478
Phone (630) 660-2184
Other practice location 1
2800 W 95th St
Evergreen Park, IL 60805-2701
Phone (708) 299-5300
Other practice location 2
329 Remington Blvd Ste 205
Bolingbrook, IL 60440-5817
Phone (630) 226-1130
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1083799498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 MARCO CT",
"city": "DARIEN",
"state": "IL",
"postal_code": "605618478",
"telephone_number": "630-660-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 W BRYN MAWR AVE STE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60631",
"telephone_number": "773-355-5300"
}
],
"practiceLocations": [
{
"address_1": "2800 W 95th St",
"address_purpose": "LOCATION",
"city": "Evergreen Park",
"state": "IL",
"postal_code": "608052701",
"country_code": "US",
"telephone_number": "708-299-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "329 Remington Blvd Ste 205",
"address_purpose": "LOCATION",
"city": "Bolingbrook",
"state": "IL",
"postal_code": "604405817",
"country_code": "US",
"telephone_number": "630-226-1130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JITEN",
"middle_name": "JAYANTILAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036119252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.