Individual provider Active NPI

Ronak Patel, MD

  • Vascular Surgery Physician
  • Chicago Ridge, IL
National Provider Identifier
1629509088
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036161100 Issued in IL
Practice address
10258 Southwest Hwy Ste a
Chicago Ridge, IL 60415-1361
Phone
(708) 346-9533
Fax
(708) 499-4312
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NA NY
Vascular Surgery Physician 2086S0129X 036161100 IL Primary
Surgery Physician 208600000X 036161100 IL

Addresses

Primary practice location

10258 Southwest Hwy Ste a
Chicago Ridge, IL 60415-1361

Mailing address

10258 Southwest Hwy Ste a
Chicago Ridge, IL 60415-1361
Phone (708) 346-9533

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630002494 IL Practitioner - Vascular Surgery 9537496203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of Ny Upstate Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Vascular Surgery Associates PLLCGroup PAC ID 0345678132, 7 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

10258 Southwest Hwy
Suite a
Chicago Ridge, IL 60415-1361
Phone (708) 346-9533

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

800 Austin St
Suite 505
Evanston, IL 60202-3439
Phone (847) 316-7055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal19
Leg revascularization (restoring blood flow)53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036161100ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jan 3, 2026 Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C Vascular Surgery CurrentSince Apr 10, 2022 Accepting new patients
Vascular Surgery Associates, PLLC Vascular Surgery CurrentSince Aug 15, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

10258 Southwest Hwy
Ste A
Chicago Ridge, IL 60415
Phone (708) 346-9533

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

1890 Silver Cross Blvd
Ste 375
New Lenox, IL 60451
Phone (708) 346-9533

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1629509088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10258 SOUTHWEST HWY STE A",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151361",
            "telephone_number": "708-346-9533",
            "fax_number": "708-499-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 SOUTHWEST HWY STE A",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151361",
            "telephone_number": "708-346-9533",
            "fax_number": "708-499-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RONAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "NA",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036161100",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036161100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.