Active NPI
Dhruti Patel
- Pediatrics Physician
- Hoffman Estates, IL
National Provider Identifier
1114774320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 209.029668
- Practice address
- 1721 Moon Lake Blvd Ste 150
Hoffman Estates, IL 60169-1070 - Phone
- (847) 882-4300
- NPI assigned
- May 4, 2024
- Last updated
- May 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 209.029668 | IL | Primary |
Addresses
Primary practice location
1721 Moon Lake Blvd Ste 150
Hoffman Estates, IL 60169-1070
Mailing address
1721 Moon Lake Blvd Ste 150
Hoffman Estates, IL 60169-1070
Phone (847) 882-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.029668 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bubbles Pediatrics, LLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGFABA/Endpoint/IGFABA
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": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1114774320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 MOON LAKE BLVD STE 150",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691070",
"telephone_number": "847-882-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MOON LAKE BLVD STE 150",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691070",
"telephone_number": "847-882-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHRUTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "209.029668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.