Individual provider Active NPI

Manisha Patel, DO

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1114048493
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-116666 Issued in IL
Practice address
41 E 8TH St Apt 1805
Chicago, IL 60605-2387
Phone
(630) 400-2502
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-116666 IL Primary

Addresses

Primary practice location

41 E 8TH St Apt 1805
Chicago, IL 60605-2387

Mailing address

520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-6000

Other practice location 1

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 213-4200

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mpatel312326@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NM, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070430000044 IL Practitioner - Emergency Medicine 1557467123 Reassigns benefits to 8 organizations
I20220205000172 NM Practitioner - Emergency Medicine 1557467123 Reassigns benefits to 4 organizations
I20240826001446 TX Practitioner - Emergency Medicine 1557467123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fedko Emergency Physicians New Mexico, LLCGroup PAC ID 4880934389, 53 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians

Practice addresses (Care Compare)

1016 E Rooselvelt Ave
Grants, NM 87020-2118
Phone (505) 287-4446

211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone (575) 630-4233

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116666ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Oak Park ER Physicians Group CurrentSince Mar 7, 2010 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Jul 9, 2019 Accepting new patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Nov 16, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 31, 2017 Accepting new patients
Las Cruces HB Medical Services LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cibola General Hospital Corporation CurrentSince Aug 15, 2024 Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince Jul 9, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 26, 2022 Accepting new patients
Roosevelt County Special Hospital District Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2022 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Nes Southwest Medical Services Inc Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 31, 2017 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Jul 26, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Jul 1, 2016 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2022 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jan 26, 2022 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine PastSince Jan 1, 2006 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients

Locations (25 of 28)

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

75 Remittance Dr
Dept 1620
Chicago, IL 60675

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29373 Network Pl
Chicago, IL 60673

1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

Interoperability endpoints

  • Direct secure messaging: patelmv@yourcarecommunity.org
  • Direct secure messaging: manishapatel@rghnm.medalliesdirect.net
  • Direct secure messaging: mpatel312326@direct.myadvocateaurora.org
  • Direct secure messaging: mpatel197115@direct.phs.org

Organizations & group practices 22

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.

View all 22

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1114048493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAPLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041022",
            "telephone_number": "708-660-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 8TH ST APT 1805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052387",
            "telephone_number": "630-400-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17800 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292029",
            "country_code": "US",
            "telephone_number": "708-213-4200",
            "fax_number": "708-213-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-116666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "17800 Kedzie Ave",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpatel312326@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17800 Kedzie Ave",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.