Individual provider Active NPI

Parav Patel, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1285890236
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125053373 Issued in IL
Practice address
5215 N California Ave Ste 601
Chicago, IL 60625-8564
Phone
(773) 878-3627
Fax
(773) 989-1669
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125053373 IL Primary

Addresses

Primary practice location

5215 N California Ave Ste 601
Chicago, IL 60625-8564

Mailing address

5215 N California Ave Ste 601
Chicago, IL 60625-8564
Phone (773) 878-3627

Other practice location 1

2300 N Childrens Plz
Chicago, IL 60614-3363
Phone (773) 880-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppatel277019@direct.northshore.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000749 IL Practitioner - Pediatric Medicine 1153516000 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125053373ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc CurrentSince Mar 1, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 15, 2023 Accepting new patients
Endeavor Health Medical Group Pediatrics CurrentSince Feb 15, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Swedish Covenant Management Services, Inc. Pediatrics Current Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5215 N California Ave
Ste 700
Chicago, IL 60625
Phone (847) 691-0404

5215 N California Ave
Ste F601
Chicago, IL 60625
Phone (773) 275-8200

75 Remittance Dr
Chicago, IL 60675

5215 N California Ave
Ste 601
Chicago, IL 60625
Phone (773) 878-3627

29373 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1285890236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE STE 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258564",
            "telephone_number": "773-878-3627",
            "fax_number": "773-989-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE STE 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258564",
            "telephone_number": "773-878-3627",
            "fax_number": "773-989-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143363",
            "country_code": "US",
            "telephone_number": "773-880-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125053373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppatel277019@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5215 N California Ave Ste 601",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606258564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.