Individual provider Active NPI

Jigna D Gandhi, MSN, NP -C

  • Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1588039770
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209013652 Issued in IL
Practice address
804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776
Phone
(847) 605-9500
Fax
(847) 605-8700
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209013652 IL Primary

Addresses

Primary practice location

804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776

Mailing address

808 E Woodfield Rd
Suite 100
Schaumburg, IL 60173-4816
Phone (847) 605-0030

Other practice location 1

7035 North Ave
Oak Park, IL 60302-1015
Phone (708) 680-3800

Other identifiers 1

IdentifierTypeStateIssuer
3317785645001MedicaidIL

Other names 1

  • Jigna D Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Vascular Clinic LTD Past Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Jan 4, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588039770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WOODFIELD RD",
            "address_2": "SUITE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734816",
            "telephone_number": "847-605-0030",
            "fax_number": "847-637-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E WOODFIELD RD",
            "address_2": "SUITE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734776",
            "telephone_number": "847-605-9500",
            "fax_number": "847-605-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 North Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603021015",
            "country_code": "US",
            "telephone_number": "708-680-3800",
            "fax_number": "708-777-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JIGNA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP -C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3317785645001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIGNA",
            "last_name": "PATEL",
            "middle_name": "D",
            "credential": "MSN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.