Individual provider Active NPI

Rahul Rameshbhai Patel, PT DPT

  • Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1689353005
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027076 Issued in IL
Practice address
12 Salt Creek LN Ste 325
Hinsdale, IL 60521-8621
Phone
(630) 856-6425
Fax
(630) 856-9425
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.027076 IL Primary

Addresses

Primary practice location

12 Salt Creek LN Ste 325
Hinsdale, IL 60521-8621

Mailing address

1013 Des Plaines Ave Apt 105
Forest Park, IL 60130-2130
Phone (731) 607-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603002842 IL Practitioner - Physical Therapist in Private Practice 1456893734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Rehabilitation Centers SCGroup PAC ID 3375593957, 6 clinicians

Practice addresses (Care Compare)

5616 N Western Ave
Chicago, IL 60659-5113
Phone (773) 694-6233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.027076ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Rehabilitation Centers SC CurrentSince Mar 30, 2024 Accepting new patients
Adventist Midwest Health PastSince Jul 16, 2023 Accepting new patients

Locations

1431 N Western Ave
Ste 510
Chicago, IL 60622
Phone (312) 633-5866

5616 N Western Ave
Chicago, IL 60659
Phone (312) 878-6233

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1689353005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DES PLAINES AVE APT 105",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302130",
            "telephone_number": "731-607-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN STE 325",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218621",
            "telephone_number": "630-856-6425",
            "fax_number": "630-856-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAHUL",
        "middle_name": "RAMESHBHAI",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.