Individual provider Active NPI

Krishna Patel, NP

  • Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1588231120
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.023361 Issued in IL
Practice address
1807 W Magnolia LN
Mount Prospect, IL 60056-4564
Phone
(847) 477-0287
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 209.023361 IL Primary

Addresses

Primary practice location

1807 W Magnolia LN
Mount Prospect, IL 60056-4564

Mailing address

1807 W Magnolia LN
Mount Prospect, IL 60056-4564
Phone (847) 477-0287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220308000512 IL Practitioner - Nurse Practitioner 6406240415 Reassigns benefits to 3 organizations
I20250723001625 NY Practitioner - Nurse Practitioner 6406240415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

1169 Liberty Ave
Brooklyn, NY 11208-3308
Phone (646) 604-8180

1248 Fulton St
Brooklyn, NY 11216-2003
Phone (646) 604-8130

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.023361ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Platinum Care, SC CurrentSince Mar 18, 2024 Accepting new patients
TT Medical Group LLC CurrentSince Jul 1, 2023 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC CurrentSince Jan 24, 2022 Accepting new patients
Trivedimd LLC CurrentSince Oct 1, 2022 Accepting new patients
Mea Chicago PC Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Modern Physician Services PC CurrentSince Jul 11, 2025 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

1605 S Michigan Ave
Ste B
Chicago, IL 60616
Phone (312) 535-5770

2363 N California Ave
Chicago, IL 60647
Phone (773) 278-7024

2400 N Ashland Ave
Chicago, IL 60614
Phone (773) 259-7180

2418 N Ashland Ave
Chicago, IL 60614
Phone (773) 799-8045

2662 N Lincoln Ave
Chicago, IL 60614
Phone (773) 657-5111

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

344 W Hubbard St
Chicago, IL 60654
Phone (312) 222-2570

741 S McHenry Ave
Ste Cd
Crystal Lake, IL 60014
Phone (630) 533-4038

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD
  • Direct secure messaging: krishna.patel.1@13676.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1588231120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W MAGNOLIA LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564564",
            "telephone_number": "847-477-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W MAGNOLIA LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564564",
            "telephone_number": "847-477-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.023361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.