Nirmal Patodia, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036053904 Issued in IL

Practice address

1111 Superior Street
Suite 206
Melrose Park, IL 60160

Phone

(708) 338-9388

Fax

(708) 388-9389

NPI assigned

Jul 5, 2006

Last updated

Sep 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Jenkins MD SC

  • Surgery Physician
  • Melrose Park, IL
  • NPI 1073551644
  NPD (past)
• Shobhana Patodia

  • Non-Pharmacy Dispensing Site
  • Melrose Park, IL
  • NPI 1073173134
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1215968854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR STREET",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-338-9388",
            "fax_number": "708-388-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR STREET",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-338-9388",
            "fax_number": "708-388-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATODIA",
        "first_name": "NIRMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036053904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053904",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "060068384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21609006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalpesh Patel, RPH
• Neelam Patel
• Shivaniben Patel
• Surendra Patel
• Patient's First Home Care LLC
• Shobhana Patodia, MD
• Melvyn Payton Jr.
• PCC Community Wellness Center (PCC Melrose Park Family Health Center)
• Terri L. Pearson, MA
• Bradley M. Pechter, M.D.

• Cardiovascular Disease Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.