NPIMap

Individual provider Active NPI

Yogitaben Deepakkumar Patel

  • Family Nurse Practitioner
  • Westmont, IL
National Provider Identifier
1467971515
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016436 Issued in IL
Practice address
700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Phone
(630) 789-9785
Fax
(630) 789-9798
NPI assigned
Sep 10, 2017
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016436 IL Primary

Addresses

Primary practice location

700 E Ogden Ave Ste 202
Westmont, IL 60559-1296

Mailing address

700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Phone (630) 789-9785

Other practice location 1

1136 N Mill St
Naperville, IL 60563-3577
Phone (630) 355-3300

Other practice location 2

124 Windsor Park Dr
Carol Stream, IL 60188-1986
Phone (630) 510-4700

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
I20171006001064 IL Practitioner - Nurse Practitioner 2163797713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jigar Thakkar MD SCGroup PAC ID 1052584125, 4 clinicians
Suburban Pulmonary and Sleep Associates LTDGroup PAC ID 3476531088, 25 clinicians

Practice addresses (Care Compare)

1309 Macom Dr
Suite 101
Naperville, IL 60564-3206
Phone (630) 236-8018

700 E Ogden Ave
Suite 202
Westmont, IL 60559-1296
Phone (630) 789-9785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.016436ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Family CurrentSince Sep 18, 2017 Accepting new patients
Jigar Thakkar MD SC CurrentSince Mar 1, 2021 Accepting new patients
Suburban Pulmonary & Sleep Associates LTD CurrentSince Feb 5, 2018 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1309 Macom Dr
Ste 101
Naperville, IL 60564
Phone (630) 236-8018

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1467971515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633577",
            "country_code": "US",
            "telephone_number": "630-355-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Windsor Park Dr",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601881986",
            "country_code": "US",
            "telephone_number": "630-510-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YOGITABEN",
        "middle_name": "DEEPAKKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.