Active NPI
Nishita Patel
- Physician Assistant
- Orland Park, IL
National Provider Identifier
1407677453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.012245
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.