Prayag Naineshkumar Patel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

336100624 Issued in IL

Practice address

525 E Grant St
Macomb, IL 61455-3313

Phone

(309) 833-4101

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McDonough County Hospital DistrictGroup PAC ID 0446140180, shared by 11 NPIs, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• MC Donough District Hospital Hospital, Macomb, IL, CCN 140089
• St Johns Hospital Hospital, Springfield, IL, CCN 140053
• MC Donough District Hospital Nursing home, CCN 14U089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/

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.

• McDonough County Hospital District

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1609180082
  Medicare reassignment NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Medicare reassignment NPD
• McDonough County Hospital District

  • Emergency Medicine Physician
  • Macomb, IL
  • NPI 1013048982
  NPD
• McDonough County Hospital District

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  NPD
• McDonough County Hospital District

  • Anatomic Pathology & Clinical Pathology Physician
  • Macomb, IL
  • NPI 1396055869
  NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1629227665
  NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1790934735
  NPD
• McDonough County Hospital District

  • Certified Registered Nurse Anesthetist
  • Macomb, IL
  • NPI 1871704874
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Care Compare affiliation
• McDonough County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Macomb, IL
  • NPI 1851705370

  Nursing home

  Care Compare affiliation
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481
  Care Compare affiliation

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1295175487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553313",
            "telephone_number": "309-833-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E GRANT ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553313",
            "telephone_number": "309-833-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAYAG",
        "middle_name": "NAINESHKUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336100624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles John Oneill, MD
• Damon Lloyd Page, APRN
• Peggy Lou Palmer, COTA/L
• Patricia Lee Pasquesi-Nemec, SLP
• Richard W Passmore, DDS
• Theodore James Pawlias, D.D.S.
• Lindsay J Peachey, N.C.C.
• Dana Peacock
• Pediatric Therapy Services of Macomb, LLC
• Rachel Ellen Pelton

• Family Medicine Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.