NPIMap

Organization Active NPI

Arvind Patel M.D.S.C.

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1174549943
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ARVIND PATEL M.D.S.C.
Practice address
380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274
Phone
(847) 813-0700
NPI assigned
Jul 14, 2006
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dr. Arvind Patel, M.D.NPI 1386662658
Title
President
Phone
(847) 299-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Surgery Physician 208600000X 036053174 IL

Addresses

Primary practice location

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274

Mailing address

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274
Phone (847) 813-0700

Other identifiers 3

IdentifierTypeStateIssuer
036053174MedicaidIL
31600344OtherILBLUE CROSS
CH9420OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000705 IL Part B Supplier - Clinic/Group Practice 8325069628 Receives reassigned benefits from 9 practitioners
Practice locations: Streamwood, IL; Chicago, IL; Park Ridge, IL; Hoffman Estates, IL; Glendale Heights, IL; Elgin, IL; Elk Grove Village, IL; Arlington Heights, IL…

National Provider Directory

National Provider Directory

Locations

1460 Market St
Fl Third
Des Plaines, IL 60016

380 E Northwest Hwy
Ste 200
Des Plaines, IL 60016
Phone (847) 299-6400

77 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 830-7400

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1174549943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-813-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-813-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVIND PATEL M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-299-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036053174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053174",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "31600344",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH9420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.