Individual provider Active NPI

Daksesh Bipin Patel, D.O.

  • Gastroenterology Physician
  • Evanston, IL
National Provider Identifier
1154526770
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-126175 Issued in IL
Practice address
800 Austin St Ste 403
Evanston, IL 60202-3444
Phone
(847) 491-9020
Fax
(847) 491-0182
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036-126175 IL Primary

Addresses

Primary practice location

800 Austin St Ste 403
Evanston, IL 60202-3444

Mailing address

800 Austin Street
West Tower, Suite 403
Evanston, IL 60202-3444
Phone (847) 491-9020

Other practice location 1

396 Remington Blvd
Suite 260
Bolingbrook, IL 60440-4302
Phone (630) 312-2590

Other identifiers 1

IdentifierTypeStateIssuer
399980OtherGROUP MEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000949 IL Practitioner - Gastroenterology 1254523046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians

Practice addresses (Care Compare)

800 Austin St
Suite 403
Evanston, IL 60202-3444
Phone (847) 491-9020

Hospital & facility affiliations

  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-126175ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elgin Gastroenterology SC Gastroenterology Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince Aug 1, 2017 Accepting new patients
Loyola University Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Loyola University Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Rush University Medical Center Gastroenterology Past Accepting new patients
Pcac Gi JV LLC PastSince Jan 1, 2022 Accepting new patients

Locations

331 W Surf St
Ste 912
Chicago, IL 60657
Phone (773) 281-0046

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

800 Austin St
Ste 403
Evanston, IL 60202
Phone (847) 491-9020

800 Austin St
Ste 557
Evanston, IL 60202
Phone (847) 244-2960

20 Tower Ct
Ste C
Gurnee, IL 60031
Phone (847) 244-2960

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

2160 S 1st Ave
#150
Maywood, IL 60153

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154526770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN STREET",
            "address_2": "WEST TOWER, SUITE 403",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023444",
            "telephone_number": "847-491-9020",
            "fax_number": "847-491-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 403",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023444",
            "telephone_number": "847-491-9020",
            "fax_number": "847-491-0182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Remington Blvd",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404302",
            "country_code": "US",
            "telephone_number": "630-312-2590",
            "fax_number": "630-226-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DAKSESH",
        "middle_name": "BIPIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-126175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "399980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.