Raunak Patel, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-026449 Issued in IL

Practice address

2111 S State Route 59
Plainfield, IL 60586-4622

Phone

(815) 609-1110

Fax

(815) 609-0575

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Illinois Dental Providers (Chicago Loop), LTD

  dba DentalWorks of Chicago Loop

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1053382242
  NPD (past)
• Patwal, PC

  dba Todays Dental of Beverly

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1215597141
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1265503080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023203",
            "telephone_number": "312-201-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S STATE ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864622",
            "telephone_number": "815-609-1110",
            "fax_number": "815-609-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 York St Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062411",
            "country_code": "US",
            "telephone_number": "708-388-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAUNAK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harsh Patel
• Himadri Mahesh Patel, D.O.
• Kalpesh M Patel, M.D.
• Krishna Vivan Patel
• Rahi Patel
• Shefali Patel, D.D.S.
• Shikha Patel, DPT
• Vishruti Patel, DDS
• Stephanie Pates
• Pamala Patterson

• General Practice Dentistry in Plainfield, IL
• Providers in Plainfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.