Individual provider Active NPI

Puja S Patel

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1245990746
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.008782 Issued in IL
Practice address
3303 W 26TH St
Chicago, IL 60623-4036
Phone
(773) 277-6589
NPI assigned
Dec 23, 2021
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.008782 IL Primary

Addresses

Primary practice location

3303 W 26TH St
Chicago, IL 60623-4036

Mailing address

106 Kensington Dr
Streamwood, IL 60107-6629
Phone (630) 244-2486

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321001598 IL Practitioner - Physician Assistant 5597150029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

13000 Maple Ave
Blue Island, IL 60406-2318
Phone (708) 385-6100

3700 W 26TH St
Centro Medico
Chicago, IL 60623-3824
Phone (773) 542-5203

6240 W 55TH St
Doctors Medical Center
Chicago, IL 60638-2531
Phone (773) 284-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.008782ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Sep 5, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 5, 2025 Accepting new patients
Access Community Health Network CurrentSince May 9, 2022 Accepting new patients
University of Chicago CurrentSince Sep 5, 2025 Accepting new patients
Trivedimd LLC PastSince Mar 12, 2023 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

3303 W 26th St
Chicago, IL 60623
Phone (773) 277-6589

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

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

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1245990746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KENSINGTON DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601076629",
            "telephone_number": "630-244-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234036",
            "telephone_number": "773-277-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUJA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.008782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.