Organization Active NPI

M D Patel Inc

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1508053380
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
M D PATEL INC
Practice address
475 N Farnsworth Ave
Aurora, IL 60505-3004
Phone
(630) 898-0022
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Sadna Mohan
Title
President
Phone
(630) 375-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

475 N Farnsworth Ave
Aurora, IL 60505-3004

Mailing address

3331 White Eagle Dr
Naperville, IL 60564-4605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000389 IL Part B Supplier - Clinic/Group Practice 8325135858 1 other NPI on this enrollment
Practice locations: Aurora, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10404 S State Route 31
Algonquin, IL 60102
Phone (847) 658-4412

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1508053380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 WHITE EAGLE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053004",
            "telephone_number": "630-898-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D PATEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "SADNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-375-6500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.