Individual provider Active NPI

Jalpa M Patel, PA-C

  • Physician Assistant
  • Zion, IL
National Provider Identifier
1710118112
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.003739 Issued in IL
Practice address
Cancer Treatment Centers of America
2520 Elisha Avenue
Zion, IL 60099
Phone
(800) 322-9183
Fax
(414) 238-2424
NPI assigned
Aug 3, 2009
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.003739 IL Primary

Addresses

Primary practice location

Cancer Treatment Centers of America
2520 Elisha Avenue
Zion, IL 60099

Mailing address

Cancer Treatment Centers of America
2361 Paysphere Circle
Chicago, IL 60674
Phone (800) 322-9183

Other practice location 1

2050 Pfingsten Rd Ste 128
Glenview, IL 60026-1324
Phone (847) 570-1700

Other practice location 2

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000632 IL Practitioner - Physician Assistant 6608912258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.003739ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Clinical Operations PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1710118112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CANCER TREATMENT CENTERS OF AMERICA",
            "address_2": "2361 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60674",
            "telephone_number": "800-322-9183",
            "fax_number": "414-238-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CANCER TREATMENT CENTERS OF AMERICA",
            "address_2": "2520 ELISHA AVENUE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "800-322-9183",
            "fax_number": "414-238-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Pfingsten Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261324",
            "country_code": "US",
            "telephone_number": "847-570-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2361 Paysphere Cir",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60674",
            "country_code": "US",
            "telephone_number": "847-746-4358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JALPA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.