Individual provider Active NPI

Neelam Vithal Patel, PA-C

  • Internal Medicine Physician
  • Elgin, IL
National Provider Identifier
1194314880
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
085008134 Issued in IL
Practice address
450 Dundee Ave
Elgin, IL 60120-4205
Phone
(847) 608-1344
NPI assigned
Jan 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 085008134 IL Primary

Addresses

Primary practice location

450 Dundee Ave
Elgin, IL 60120-4205

Mailing address

450 Dundee Ave
Elgin, IL 60120-4205
Phone (847) 608-1344

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818001508 IL Order and Referring Only - Physician Assistant 0446633788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Family Health Multi-Specialty CurrentSince Jun 22, 2021 Accepting new patients
Greater Family Health PastSince Jan 24, 2021 Accepting new patients

Locations

450 Dundee Ave
Elgin, IL 60120
Phone (847) 608-1334

1515 E Lake St
Ste 202
Hanover Park, IL 60133

Interoperability endpoints

  • Direct secure messaging: neelam.patel.p1@direct.gefcc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1194314880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204205",
            "telephone_number": "847-608-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204205",
            "telephone_number": "847-608-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEELAM",
        "middle_name": "VITHAL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "085008134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.