Active NPI
Suketu Patel, FNP
- Family Nurse Practitioner
- Round Lake Beach, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 227004445
- Practice address
- 224 W Clarendon Dr
Round Lake Beach, IL 60073-1896 - Phone
- (224) 875-0013
- NPI assigned
- Nov 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F11190685 | IL | |
| Family Nurse Practitioner | 363LF0000X | 227004445 | IL | Primary |
Addresses
Primary practice location
224 W Clarendon Dr
Round Lake Beach, IL 60073-1896
Mailing address
1079 Cedar LN
Elk Grove Village, IL 60007-4521
Phone (224) 875-0013
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 W Clarendon Dr
Round Lake Beach, IL 60073-1896
Phone (847) 377-8800
Hospital & facility affiliations
- Advocate Condell Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11190685 | IL | MD | Family Medicine Physician |
| 227004445 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lake | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients |
Locations
224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800
2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400
3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296
Interoperability endpoints
- suketu.patel.p1@direct.lakecountyil.nextgenshare.com
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.
-
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
-
- Federally Qualified Health Center (FQHC)
- Highland Park, IL
- NPI 1285663328
-
- Federally Qualified Health Center (FQHC)
- Round Lake, IL
- NPI 1639588254
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1629614631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 CEDAR LN",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600074521",
"telephone_number": "224-875-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W CLARENDON DR",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600731896",
"telephone_number": "224-875-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUKETU",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-25",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "F11190685",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "227004445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Lake Beach, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.