Organization Active NPI

Oswego Family Physicians LTD

  • Family Medicine Physician
  • Oswego, IL
National Provider Identifier
1437333051
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036110282 Issued in IL
Legal business name
OSWEGO FAMILY PHYSICIANS LTD
Practice address
2685 US Highway 34
Oswego, IL 60543-8577
Phone
(630) 551-0047
Fax
(630) 551-0048
NPI assigned
Dec 18, 2007
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Ankur J Patel, M.D.NPI 1831214295
Title
Owner
Phone
(630) 551-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036110282 IL Primary

Addresses

Primary practice location

2685 US Highway 34
Oswego, IL 60543-8577

Mailing address

2685 US Highway 34
Oswego, IL 60543-8577
Phone (630) 551-0047

Other identifiers 1

IdentifierTypeStateIssuer
036110282MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000630 IL Part B Supplier - Clinic/Group Practice 3476523945 Receives reassigned benefits from 3 practitioners
Practice locations: Aurora, IL; Oswego, IL

National Provider Directory

National Provider Directory

Locations

507 Fairway Dr
Ste 127
Naperville, IL 60563
Phone (630) 801-7505

2685 US Highway 34
Oswego, IL 60543
Phone (630) 551-0000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1437333051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438577",
            "telephone_number": "630-551-0047",
            "fax_number": "630-551-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438577",
            "telephone_number": "630-551-0047",
            "fax_number": "630-551-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO FAMILY PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-551-0047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036110282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.