Advanced Center for Internal Medicine, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036116887 Issued in IL

Legal business name

ADVANCED CENTER FOR INTERNAL MEDICINE, S.C.

Practice address

2172 Blackberry Dr Ste 101
Geneva, IL 60134-1103

Phone

(630) 262-0888

Fax

(630) 262-0999

NPI assigned

Jun 10, 2008

Organization subpart

No

Name

Dr. Nirali Patel, D.O.NPI 1720115041

Title

President

Phone

(630) 262-0888

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nirali Patel, DO

  • Internal Medicine Physician
  • Geneva, IL
  • NPI 1720115041
  Medicare reassignment NPD Authorized official IL · INTERNAL MEDICINE

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2022.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1386804763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 208",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-262-0888",
            "fax_number": "630-262-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR STE 101",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341103",
            "telephone_number": "630-262-0888",
            "fax_number": "630-262-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Randall Rd",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344209",
            "country_code": "US",
            "telephone_number": "630-262-0888",
            "fax_number": "630-262-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED CENTER FOR INTERNAL MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-262-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036116887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Geneva, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.