NPIMap

Organization Active NPI

Vipul M. Patel

  • Durable Medical Equipment & Medical Supplies
  • Homewood, IL
National Provider Identifier
1225216062
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
016005006 Issued in IL
Legal business name
VIPUL M. PATEL
Practice address
17901 Governors Hwy
Suite 205
Homewood, IL 60430-1144
Phone
(708) 206-0777
Fax
(708) 206-0702
NPI assigned
Feb 4, 2008
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Mrs. Vipul M Patel, DPMNPI 1780611467
Title
Doctor
Phone
(219) 659-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 016005006 IL Primary

Addresses

Primary practice location

17901 Governors Hwy
Suite 205
Homewood, IL 60430-1144

Mailing address

10506 Capistrano LN
Orland Park, IL 60467-8245
Phone (219) 659-9000

Other identifiers 2

IdentifierTypeStateIssuer
01632074OtherILBLUE CROSS BLUE SHIELD
213927549MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1225216062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 CAPISTRANO LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678245",
            "telephone_number": "219-659-9000",
            "fax_number": "219-659-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY",
            "address_2": "SUITE 205",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301144",
            "telephone_number": "708-206-0777",
            "fax_number": "708-206-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPUL M. PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "219-659-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "016005006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01632074",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213927549",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.