Organization Active NPI

Jay U Patel MD, PC

  • Vascular & Interventional Radiology Physician
  • Munster, IN
National Provider Identifier
1588855084
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01058826A Issued in IN
Legal business name
JAY U PATEL MD, PC
Practice address
8242 Calumet Ave
Suite 2-a
Munster, IN 46321-1758
Phone
(773) 726-2682
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Jay U Patel, M.D.NPI 1740279009
Title
Medical Director
Phone
(773) 726-2682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 01058826A IN Primary

Addresses

Primary practice location

8242 Calumet Ave
Suite 2-a
Munster, IN 46321-1758

Mailing address

1359 W Fullerton Ave
Unit 4
Chicago, IL 60614-5196
Phone (773) 726-2682

National Provider Directory

National Provider Directory

Locations

8242 Calumet Ave
Ste 2A
Munster, IN 46321
Phone (773) 726-2682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1588855084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 W FULLERTON AVE",
            "address_2": "UNIT 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145196",
            "telephone_number": "773-726-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8242 CALUMET AVE",
            "address_2": "SUITE 2-A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211758",
            "telephone_number": "773-726-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY U PATEL MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-726-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01058826A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.