Individual provider Active NPI

Rupal Patel, M.D.

  • Gastroenterology Physician
  • Hazel Crest, IL
National Provider Identifier
1629412051
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036160377 Issued in IL
Practice address
17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056
Phone
(708) 957-4011
Fax
(708) 957-4013
NPI assigned
Apr 29, 2013
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 19601 NH
Gastroenterology Physician 207RG0100X ME127414 FL
Gastroenterology Physician 207RG0100X 036160377 IL Primary

Addresses

Primary practice location

17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

One Medical Center Drive
Gastroenterology
Lebanon, NH 03756-0001
Phone (603) 650-5261

Other identifiers 1

IdentifierTypeStateIssuer
3117399MedicaidNH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rpatel349984@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201008003290 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 0446593180 Reassigns benefits to 2 organizations
I20210917002797 FL Practitioner - Gastroenterology 0446593180 Reassigns benefits to 1 organization
I20221014002380 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 0446593180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ohio Medical University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

6701 Heritage Pkwy
Suite 130
Rockwall, TX 75087-8799
Phone (972) 463-9500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036160377ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 27, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 12, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Sep 1, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 12, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 26, 2022 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Seton Family of Doctors CurrentSince Sep 1, 2020 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Aug 26, 2022 Accepting new patients
Healthtexas Provider Network Gastroenterology CurrentSince Jan 27, 2025 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

410 Celebration Pl
Ste 106
Kissimmee, FL 34747
Phone (407) 303-4829

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

17850 Kedzie Ave
Ste 2100
Hazel Crest, IL 60429
Phone (708) 957-4010

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

6701 Heritage Pkwy
Ste 130
Rockwall, TX 75087
Phone (972) 463-9500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rpatel1359207@direct.sw.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1629412051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE 2100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292056",
            "telephone_number": "708-957-4011",
            "fax_number": "708-957-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Drive",
            "address_2": "Gastroenterology",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUPAL",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "19601",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME127414",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036160377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117399",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpatel349984@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "17850 Kedzie Ave Ste 2100",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "17850 Kedzie Ave Ste 2100",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.