Rachana Suresh Patel-Garud, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009928 Issued in IL

Practice address

811 Church St
Evanston, IL 60201-3706

Phone

(847) 425-0086

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Rachana Suresh Patel Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• J a K Enterprises Inc

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1376581611

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1629148804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013706",
            "telephone_number": "847-425-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013706",
            "telephone_number": "847-425-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7715 N Grand Prairie Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616159243",
            "country_code": "US",
            "telephone_number": "309-691-1320",
            "fax_number": "309-691-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL-GARUD",
        "first_name": "RACHANA",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00434967",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009928",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7215175",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpatel@bigcityoptical.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 Church St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602013706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHANA",
            "last_name": "PATEL",
            "middle_name": "SURESH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randy S Parks, M.A. L.C.P.C.
• Claire Parmenter, DPT
• Muriel R. Patay, D.MIN., LCSW
• Colton Pate, DO
• Karishma Patel-Bhangare, M.D.
• Aesha Patel, MD
• Akash Nitin Patel, DO
• Akshar Patel, MD
• Alpana Patel, RN
• Amisha Patel, MD

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; 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.