Active NPI
Vikas K. Patel, MD
- Cardiovascular Disease Physician
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036114679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4632011 | Other | IL | BCBS |
| 036114679 | Medicaid | IL | |
| 208409003 | Other | IL | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
375 N Wall St
P630
Kankakee, IL 60901-3495
Phone (815) 933-4510
Hospital & facility affiliations
- Riverside Medical Center
- Iroquois Memorial Hospital
- Presence St Marys Hospital
- Rush University Medical Center
- Advocate Christ Hospital & Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 66 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36114679 | IL | MD | Internal Medicine Physician |
| 036114679 | IL | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | 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
- 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.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.