Priyanka Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011888 Issued in IL

Practice address

2640 183Rd St
Homewood, IL 60430-2914

Phone

(708) 798-6633

Fax

(708) 798-6790

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocular Partners PLLCGroup PAC ID 7113829532, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppatel@opillinois.intellechartdirect.net

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.

• Ocular Partners PLLC

  • Ophthalmic Technician/Technologist
  • Homewood, IL
  • NPI 1295792901

  IL

  Medicare reassignment Care Compare group NPD
• Arbor Center for Eyecare

  • Durable Medical Equipment & Medical Supplies
  • Homewood, IL
  • NPI 1821129834
  NPD

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1245073121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S WABASH AVE UNIT 2210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302914",
            "telephone_number": "708-798-6633",
            "fax_number": "708-798-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 S Kedzie Ave Ste Candh",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608036307",
            "country_code": "US",
            "telephone_number": "708-388-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecile Angela Partee, MASTERS OF AUDIOLOGY
• Partners in Recovery LTD
• Paschal J. Panio, M.D., P.C.
• Komal Mahendrakumar Patel, DO, MPH
• Neeva Rupaa Patel, DMD
• Rajesh V Patel, M.D.
• Autumn Patino, M.S., CF-SLP
• T'Mia Patrick, MA
• Tameka S Patterson, LSW
• Ashley Peabody, MA, CCC-SLP

• All providers in Homewood, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.

Verify at the official NPI Registry.