Active NPI
Krishna Patel, NP
- Nurse Practitioner
- Mount Prospect, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.023361
- Practice address
- 1807 W Magnolia LN
Mount Prospect, IL 60056-4564 - Phone
- (847) 477-0287
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.023361 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Platinum Care, SC | Current | Accepting new patients | |
| TT Medical Group LLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Illinois PLLC | Current | Accepting new patients | |
| Trivedimd LLC | Current | Accepting new patients | |
| Mea Chicago PC | Nurse Practitioner | Current | Accepting new patients |
| Modern Physician Services PC | Current | 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
- https://fhir4.healow.com/fhir/r4/CHFABD
- 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.
-
dba ModernMD Urgent Care
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1932590601
-
- Family Medicine Physician
- Chicago, IL
- NPI 1114397056
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1356485809
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1639735608
-
- Family Medicine Physician
- Crystal Lake, IL
- NPI 1215528922
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.