Active NPI
Advanced Integrative Medicine
- Internal Medicine Physician
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036108691
- Legal business name
- ADVANCED INTEGRATIVE MEDICINE
- Practice address
- 12624 S Route 59
Plainfield, IL 60585-5448 - Phone
- (815) 577-6446
- Fax
- (815) 577-6331
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kalpesh Patel, M.D.
- Title
- Physician
- Phone
- (815) 577-6446
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036108691 | IL | Primary |
Addresses
Primary practice location
12624 S Route 59
Plainfield, IL 60585-5448
Mailing address
12624 S Route 59
Plainfield, IL 60585-5448
Phone (815) 577-6446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108691 | Medicaid | IL | |
| DD8953 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1045386 | Advanced Integrative Medicine | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
12820 S Route 59
Unit C
Plainfield, IL 60585
Phone (773) 202-8700
12624 S Route 59
Plainfield, IL 60585
Phone (815) 577-0900
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Plainfield, IL
- NPI 1154386506
-
- Nurse Practitioner
- Plainfield, IL
- NPI 1033488762
-
- Nurse Practitioner
- Aurora, IL
- NPI 1326232406
-
- Nurse Practitioner
- Plainfield, IL
- NPI 1215683693
-
- Family Nurse Practitioner
- Aurora, IL
- NPI 1871802744
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1316573835
-
- Family Medicine Physician
- Normal, IL
- NPI 1114411410
-
- Family Nurse Practitioner
- Berwyn, IL
- NPI 1548637226
-
- General Practice Dentistry
- Plainfield, IL
- NPI 1043387707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389830400000",
"number": "1497937536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12624 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855448",
"telephone_number": "815-577-6446",
"fax_number": "815-577-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12624 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855448",
"telephone_number": "815-577-6446",
"fax_number": "815-577-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2014-01-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KALPESH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "815-577-6446",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036108691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108691",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DD8953",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.