Active NPI
Ishwar K Patel, M.D.
- Obstetrics & Gynecology Physician
- Hoffman Estates, IL
National Provider Identifier
1265432090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-050322
- Practice address
- 1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700 - Phone
- (847) 884-9800
- NPI assigned
- Jul 22, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-050322 | IL | Primary |
Addresses
Primary practice location
1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700
Mailing address
2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015-1271
Phone (847) 562-1410
Other practice location 1
1555 Barrington Rd Ste 130
Hoffman Estates, IL 60169-5026
Phone (847) 882-2577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050322 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-050322 | IL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1265432090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 LAKESIDE DR",
"address_2": "STE 209",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151271",
"telephone_number": "847-562-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MOON LAKE BLVD STE 100",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601695700",
"telephone_number": "847-884-9800"
}
],
"practiceLocations": [
{
"address_1": "1555 Barrington Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601695026",
"country_code": "US",
"telephone_number": "847-882-2577",
"fax_number": "847-882-2550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ISHWAR",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-050322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050322",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.