Jayantibhai K Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036051749 Issued in IL

Practice address

6738 Cermak Rd
Berwyn, IL 60402-2217

Phone

(708) 749-2331

Fax

(708) 749-9339

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Jayant K Patel Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jpatel284942@direct.myadvocateaurora.org

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.

• Jayantibhai K Patel

  • Internal Medicine Physician
  • Berwyn, IL
  • NPI 1396048757
  NPD (past) Authorized official
• Associates in Behavioral Science, LTD.

  • Clinical Psychologist
  • Berwyn, IL
  • NPI 1245459395
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1275575136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022217",
            "telephone_number": "708-749-2331",
            "fax_number": "708-749-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022217",
            "telephone_number": "708-749-2331",
            "fax_number": "708-749-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYANTIBHAI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051749",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036051749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYANT",
            "last_name": "PATEL",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Archna Nisarg Patel, OD
• Dilip P Patel, M.D.
• Dilipkumar Patel, SURGICAL ASSISTANT
• Hemlatta Patel
• Jayantibhai Gopalbhai Patel, MD
• Kirtan Patel, MD
• Krishna Patel, M.D.
• Mit Patel, MD
• Neesha D Patel, M.D.
• Rucha Patel

• Internal Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.