Prachi Indravadan Patel, D.O.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5101 Willow Springs Rd
2ND Floor
La Grange, IL 60525-2600

Phone

(708) 245-8900

Fax

(708) 245-5604

NPI assigned

Apr 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medical Center of Lagrange LTDGroup PAC ID 0749243939, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
• Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
• Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
• Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
• Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Family Medical Center of Lagrange LTD

  • Family Medicine Physician
  • Lagrange, IL
  • NPI 1649355793
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Bolingbrook Hospital

  • General Acute Care Hospital
  • Bolingbrook, IL
  • NPI 1164530465
  Care Compare affiliation
• Adventist Glenoaks Hospital

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  Care Compare affiliation
• Adventist Glenoaks Hospital

  • General Acute Care Hospital
  • Glendale Heights, IL
  • NPI 1760415939
  Care Compare affiliation
• Adventist Midwest Health

  • General Acute Care Hospital
  • Hinsdale, IL
  • NPI 1265465439
  Care Compare affiliation
• Adventist Midwest Health

  • General Acute Care Hospital
  • La Grange, IL
  • NPI 1407889652
  Care Compare affiliation
• Adventist Midwest Health

  • Psychiatric Hospital Unit
  • Hinsdale, IL
  • NPI 1447270780
  Care Compare affiliation
• Adventist Midwest Health

  • Home Health Agency
  • La Grange, IL
  • NPI 1457397317
  Care Compare affiliation
• Adventist Midwest Health

  • Rehabilitation Hospital Unit
  • La Grange, IL
  • NPI 1588068274
  Care Compare affiliation

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1144545849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "address_2": "2ND FLOOR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-245-8900",
            "fax_number": "708-245-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "address_2": "2ND FLOOR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-245-8900",
            "fax_number": "708-245-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRACHI",
        "middle_name": "INDRAVADAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerlinde Marie Parvin, LSW
• Guia Stephanie Alcala Pascual, DO
• Robert Passovoy, MD
• Laura Paszyna, MPT
• Mansi Sunil Patel, DO
• Pramathini Patel, DO
• Priya Naresh Patel
• Shruti P Patel, DO
• Tulsi Patel, DO
• Pathway la Grange Property Owner, LLC

• Student in an Organized Health Care Education/Training Program in La Grange, IL
• Providers in La Grange, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.