Active NPI
Rupal Patel, M.D.
- Gastroenterology Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036160377
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3117399 | Medicaid | NH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ohio Medical University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 49 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036160377 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Healthtexas Provider Network | Gastroenterology | Current | 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
- 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.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Bethany Hospital
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Neurological Surgery Physician
- Kyle, TX
- NPI 1730412388
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Baylor Scott & White Medical Center Lake Pointe
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.