Individual provider Active NPI

Hiral Hiren Patel

  • Family Nurse Practitioner
  • Lombard, IL
National Provider Identifier
1619553856
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03210773 Issued in IL
Practice address
2500 S Highland Ave Ste 230
Lombard, IL 60148-7103
Phone
(630) 429-9000
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03210773 IL Primary

Addresses

Primary practice location

2500 S Highland Ave Ste 230
Lombard, IL 60148-7103

Mailing address

2500 S Highland Ave Ste 230
Lombard, IL 60148-7103
Phone (630) 429-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210520000724 IL Practitioner - Nurse Practitioner 4789083999 Reassigns benefits to 2 organizations

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
Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03210773ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health of Illinois LLC CurrentSince Oct 17, 2024 Accepting new patients
Primary Care Services CurrentSince Jul 1, 2021 Accepting new patients

Locations

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

2500 S Highland Ave
Ste 230
Lombard, IL 60148
Phone (630) 429-9000

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1619553856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487103",
            "telephone_number": "630-429-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487103",
            "telephone_number": "630-429-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIRAL",
        "middle_name": "HIREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-08-05",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F03210773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.