Active NPI
Nikhil Kanti Patel, M.D.
- Neurological Surgery Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 125051467
- Practice address
- 2160 S 1St Ave
Building 105 Room 1900
Maywood, IL 60153-3328 - Phone
- (708) 216-5120
- Fax
- (708) 216-4948
- NPI assigned
- Oct 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 125051467 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Building 105 Room 1900
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Building 105 Room 1900
Maywood, IL 60153-3328
Phone (708) 216-5120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Oaks Physical Therapy Limited Partnership
Practice addresses (Care Compare)
2705 W Arkansas LN
Dalworthington Gardens, TX 76016-5818
Phone (817) 701-4253
350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 86 |
| Laminectomy or laminotomy (partial removal of spine bones) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125051467 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bianco Brain & Spine, LLC | Neurological Surgery | Current | Accepting new patients |
Locations
1001 N Waldrop Dr
Ste 403
Arlington, TX 76012
Phone (817) 468-4343
2705 W Arkansas Ln
Dwg, TX 76016
Phone (817) 701-4253
Interoperability endpoints
- nikhil.patel.1@28321.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- DWG, TX
- NPI 1518197045
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1629229950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "BUILDING 105 ROOM 1900",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-5120",
"fax_number": "708-216-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "BUILDING 105 ROOM 1900",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-5120",
"fax_number": "708-216-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIKHIL",
"middle_name": "KANTI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "125051467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.