Individual provider Active NPI

Vijay Patel, M.D.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1326097585
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036060465 Issued in IL
Practice address
2315 E 93Rd St
Suite 340
Chicago, IL 60617-3910
Phone
(773) 721-0322
Fax
(773) 721-1471
NPI assigned
May 8, 2006
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036060465 IL Primary

Addresses

Primary practice location

2315 E 93Rd St
Suite 340
Chicago, IL 60617-3910

Mailing address

PO Box 10428
Merrillville, IN 46411-0428
Phone (219) 681-2065

Other identifiers 2

IdentifierTypeStateIssuer
036060465MedicaidIL
100377340MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050502000265 IN Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 4385632744 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Occu-Med PC CurrentSince Apr 14, 2011 Accepting new patients
Patel & Associates, M.D. S.C. Surgery Past Accepting new patients

Locations

2230 Indianapolis Blvd
Whiting, IN 46394
Phone (219) 655-8994

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1326097585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10428",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110428",
            "telephone_number": "219-681-2065",
            "fax_number": "219-681-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173910",
            "telephone_number": "773-721-0322",
            "fax_number": "773-721-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036060465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060465",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100377340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.