Active NPI
Jeet Vijay Patel
- Nurse Practitioner
- Wayne, MI
National Provider Identifier
1639024714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.035130
- Practice address
- 4020 Venoy Rd Ste 400
Wayne, MI 48184-1891 - Phone
- (734) 519-5200
- NPI assigned
- Mar 3, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.035130 | IL | Primary |
Addresses
Primary practice location
4020 Venoy Rd Ste 400
Wayne, MI 48184-1891
Mailing address
4020 Venoy Rd Ste 400
Wayne, MI 48184-1891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.035130 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1639024714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 VENOY RD STE 400",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 VENOY RD STE 400",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841891",
"telephone_number": "734-519-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JEET",
"middle_name": "VIJAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.035130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.