Individual provider Active NPI

Vikas K. Patel, MD

  • Cardiovascular Disease Physician
  • Kankakee, IL
National Provider Identifier
1235349598
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036114679 Issued in IL
Practice address
375 N Wall St
Ste 310
Kankakee, IL 60901-3483
Phone
(815) 936-3240
Fax
(815) 936-3243
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36114679 IL
Cardiovascular Disease Physician 207RC0000X 036114679 IL Primary
Interventional Cardiology Physician 207RI0011X 036114679 IL
Nuclear Cardiology Physician 207UN0901X 036114679 IL

Addresses

Primary practice location

375 N Wall St
Ste 310
Kankakee, IL 60901-3483

Mailing address

375 N Wall St
Ste 310
Kankakee, IL 60901-3483
Phone (815) 936-3240

Other identifiers 3

IdentifierTypeStateIssuer
4632011OtherILBCBS
036114679MedicaidIL
208409003OtherILMEDICARE PROVIDER #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000662 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2668667510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

Practice addresses (Care Compare)

375 N Wall St
P630
Kankakee, IL 60901-3495
Phone (815) 933-4510

Hospital & facility affiliations

  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Iroquois Memorial Hospital Hospital, Watseka, IL, CCN 141353
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting66
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36114679ILMDInternal Medicine Physician
036114679ILMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Aug 11, 2014 Accepting new patients
Riverside Health System CurrentSince Aug 11, 2014 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255

500 N Wall St
Ste C100
Kankakee, IL 60901
Phone (844) 404-4787

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

400 N Wall St
Ste 304
Kankakee, IL 60901
Phone (815) 932-6400

375 N Wall St
Ste P310
Kankakee, IL 60901
Phone (815) 933-0194

375 N Wall St
Ste P630
Kankakee, IL 60901
Phone (815) 933-4510

375 N Wall St
#310
Kankakee, IL 60901
Phone (815) 936-3240

375 N Wall St
Ste 310
Kankakee, IL 60901
Phone (815) 936-3240

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: vpatel8339@direct.riversidehealthcare.net

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1235349598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "STE 310",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-936-3240",
            "fax_number": "815-936-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "STE 310",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-936-3240",
            "fax_number": "815-936-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIKAS",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36114679",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036114679",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036114679",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "036114679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4632011",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114679",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "208409003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.