Tejal Nanubhai Patel, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085.004464 Issued in IL

Practice address

16221 W 159TH St
Lockport, IL 60441-7959

Phone

(815) 588-1111

NPI assigned

Jul 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1275845372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16221 W 159TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417959",
            "telephone_number": "815-588-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 W 159TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417959",
            "telephone_number": "815-588-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAL",
        "middle_name": "NANUBHAI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005871",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.004464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara E. Parsons, M.S. CCC/SLP
• Partriot Pilates, Inc
• Mital K Patel, PHARMACIST
• Nehal Patel, PHARMD
• Shawn A Patel, MD
• Viray Lalit Patel, DDS
• Monica Patla, MHS
• Patricia H. Simpson, O.D., LTD.
• Dena M Perillo
• Melissa Ann Peterson, MSW, LSW

• Medical Physician Assistant in Lockport, IL
• Providers in Lockport, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.