Active NPI
Elena Suzanne Patel, DO
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026-01492
- Practice address
- 335 N Caswell Rd
Charlotte, NC 28204-2403 - Phone
- (704) 384-7980
- Fax
- (704) 384-7985
- NPI assigned
- Apr 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101028595 | MI | |
| Family Medicine Physician | 207Q00000X | 036.162146 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Family Medicine Physician | 207Q00000X | 2026-01492 | NC | Primary |
Addresses
Primary practice location
335 N Caswell Rd
Charlotte, NC 28204-2403
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
815 Main St Ste C
Peoria, IL 61602-1080
Phone (309) 672-4977
Other practice location 2
7093 Dexter Ann Arbor Rd
Dexter, MI 48130-8568
Phone (734) 426-9028
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
PO Box
Suite 778964
Chicago, IL 60677-0853
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Current | Accepting new patients | |
| Heartland Community Health Clinic | Current | Accepting new patients | |
| Heartland Community Health Clinic | Current | Accepting new patients | |
| Iha Health Service Corporation | Family Medicine | Current | Accepting new patients |
| Heartland Community Health Clinic | Current | Accepting new patients | |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family Medicine | Past | Accepting new patients |
Locations
2321 N Wisconsin Ave
Peoria, IL 61603
Phone (309) 688-9456
711 W John H Gwynn Jr Ave
Peoria, IL 61605
Phone (309) 672-5650
8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
1701 W Garden St
Peoria, IL 61605
2214 N University St
Peoria, IL 61604
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
3200 W Liberty Rd
Ste C
Ann Arbor, MI 48103
Phone (734) 761-2581
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
7093 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-8696
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
4940 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 434-0477
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
Interoperability endpoints
- epatel4426606@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Peoria, IL
- NPI 1336193861
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Federally Qualified Health Center (FQHC)
- Pekin, IL
- NPI 1104276492
-
- Federally Qualified Health Center (FQHC)
- Peoria, IL
- NPI 1922561000
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1922454214
Family Medicine
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1164041489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 N CASWELL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042403",
"telephone_number": "704-384-7980",
"fax_number": "704-384-7985"
}
],
"practiceLocations": [
{
"address_1": "815 Main St Ste C",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616021080",
"country_code": "US",
"telephone_number": "309-672-4977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7093 Dexter Ann Arbor Rd",
"address_purpose": "LOCATION",
"city": "Dexter",
"state": "MI",
"postal_code": "481308568",
"country_code": "US",
"telephone_number": "734-426-9028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ELENA",
"middle_name": "SUZANNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-16",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101028595",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.162146",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2026-01492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.