Active NPI
Kishan Patel, DPM
- Podiatrist
- Peoria, IL
National Provider Identifier
1689569667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 135.001257
- Practice address
- 3322 W Willow Knolls Dr
Peoria, IL 61614-8148 - Phone
- (309) 691-5800
- NPI assigned
- Jun 11, 2025
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 135.001257 | IL | Primary |
Addresses
Primary practice location
3322 W Willow Knolls Dr
Peoria, IL 61614-8148
Mailing address
168 S Franzen St
Bensenville, IL 60106-2027
Phone (630) 701-0071
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: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135.001257 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1689569667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 S FRANZEN ST",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062027",
"telephone_number": "630-701-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148148",
"telephone_number": "309-691-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KISHAN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-11",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "135.001257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.