Organization Active NPI

Patel Medical Group P.C.

  • Multi-Specialty Clinic/Center
  • Deer Park, IL
National Provider Identifier
1104696012
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PATEL MEDICAL GROUP P.C.
Practice address
20330 N Deer Park Blvd Ste 130
Deer Park, IL 60010-7222
Phone
(312) 625-1889
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Dr. Darshan R Patel, MDNPI 1376920264
Title
Ceo
Phone
(224) 388-1430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

20330 N Deer Park Blvd Ste 130
Deer Park, IL 60010-7222

Mailing address

20330 N Deer Park Blvd Ste 130
Deer Park, IL 60010-7222
Phone (312) 625-1889

Other practice location 1

321 West Hobsonway Ste C
Blythe, CA 92225-1651
Phone (312) 625-1889

Other practice location 2

195 West Highway 246
Buellton, CA 93427-9459
Phone (312) 625-1889

Other names 2

  • Aayu Well Doing business as
  • Aayu Well Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230002622 IL Part B Supplier - Clinic/Group Practice 1759818941 Receives reassigned benefits from 2 practitioners
Practice locations: Deer Park, IL

National Provider Directory

National Provider Directory

Locations

20330 N Deer Park Blvd
Ste 130
Deer Park, IL 60010
Phone (312) 625-1889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1104696012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20330 N DEER PARK BLVD STE 130",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107222",
            "telephone_number": "312-625-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20330 N DEER PARK BLVD STE 130",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107222",
            "telephone_number": "312-625-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 West Hobsonway Ste C",
            "address_purpose": "LOCATION",
            "city": "Blythe",
            "state": "CA",
            "postal_code": "922251651",
            "country_code": "US",
            "telephone_number": "312-625-1889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 West Highway 246",
            "address_purpose": "LOCATION",
            "city": "Buellton",
            "state": "CA",
            "postal_code": "934279459",
            "country_code": "US",
            "telephone_number": "312-625-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATEL MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-388-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aayu Well",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aayu Well Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.