Individual provider Active NPI

Nishita Patel

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1407677453
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.012245 Issued in IL
Practice address
60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522
Phone
(708) 914-5145
Fax
(708) 914-5144
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.012245 IL Primary

Addresses

Primary practice location

60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522

Mailing address

60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522
Phone (708) 914-5145

Other practice location 1

2000 University Ave
Dubuque, IA 52001-5050
Phone (563) 589-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1407677453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626522",
            "telephone_number": "708-914-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626522",
            "telephone_number": "708-914-5145",
            "fax_number": "708-914-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 University Ave",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520015050",
            "country_code": "US",
            "telephone_number": "563-589-3662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.012245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.