NPIMap

Individual provider Active NPI

Piushkumar J Patel, M.D.

  • Internal Medicine Physician
  • Huntley, IL
National Provider Identifier
1447254255
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036108301 Issued in IL
Practice address
10350 Haligus Rd Ste 200
Huntley, IL 60142
Phone
(815) 338-6600
Fax
(847) 802-7265
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036108301 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste 200
Huntley, IL 60142

Mailing address

10350 Haligus Rd Ste 200
Huntley, IL 60142-9545
Phone (815) 338-6600

Other practice location 1

3707 Doty Rd
Suite D
Woodstock, IL 60098-7530
Phone (815) 338-6600

Other identifiers 2

IdentifierTypeStateIssuer
036108301OtherILSTATE LICENSE
036108301MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000528 IL Practitioner - Internal Medicine 3971697012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians
Pilsen Medical Clinic and Associates LLCGroup PAC ID 5294972501, 7 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Huntley, IL 60142-9585

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4874

4415 Harrison St
Suite 247
Hillside, IL 60162-1919
Phone (312) 738-3355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108301ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince May 1, 2019 Accepting new patients
Pilsen Medical Clinic & Associates, LLC CurrentSince Nov 3, 2016 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

4415 Harrison St
Ste 247
Hillside, IL 60162
Phone (312) 738-3355

11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

10350 Haligus Rd
#200
Huntley, IL 60142

10350 Haligus Rd
Ste 200
Huntley, IL 60142

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3707 Doty Rd
Ste D
Woodstock, IL 60098

Interoperability endpoints

  • Direct secure messaging: piushkumar.patel.2@17656.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17656/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1447254255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 200",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 200",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Doty Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-206-1086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PIUSHKUMAR",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036108301",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108301",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.