Individual provider Active NPI

Devang Patel, D.O.

  • Family Medicine Physician
  • Plainfield, IL
National Provider Identifier
1467600809
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036121863 Issued in IL
Practice address
14855 S Van Dyke Rd
#294
Plainfield, IL 60544-4369
Phone
(630) 800-2741
Fax
(866) 223-3460
NPI assigned
Aug 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036121863 IL Primary

Addresses

Primary practice location

14855 S Van Dyke Rd
#294
Plainfield, IL 60544-4369

Mailing address

14855 S Van Dyke Rd
#294
Plainfield, IL 60544-4369
Phone (630) 800-2741

Other identifiers 2

IdentifierTypeStateIssuer
553180OtherILMEDICARE GROUP PLAN NUMBER
834340OtherILMEDICARE GROUP PLAN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090707000553 IL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6305997123 Reassigns benefits to 1 organization
I20241105002322 TX Practitioner - Family Practice 6305997123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9355 John W Elliott Dr
Frisco, TX 75033-3392
Phone (945) 202-9960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036121863ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Medical Service PC Family Medicine CurrentSince Jul 17, 2024 Accepting new patients
Hoverh Past Accepting new patients

Locations

14855 S Van Dyke Rd
Unit 294
Plainfield, IL 60544
Phone (630) 800-2741

9355 John W Elliott Dr
Frisco, TX 75033
Phone (945) 202-9960

Interoperability endpoints

  • Direct secure messaging: drpatel@crescentmed.kareodirect.com
  • Direct secure messaging: devang.patel@375018670391300.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1467600809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 S VAN DYKE RD",
            "address_2": "#294",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444369",
            "telephone_number": "630-800-2741",
            "fax_number": "866-223-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 S VAN DYKE RD",
            "address_2": "#294",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444369",
            "telephone_number": "630-800-2741",
            "fax_number": "866-223-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036121863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PLAN NUMBER",
            "identifier": "553180",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PLAN NUMBER",
            "identifier": "834340",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.