Individual provider Active NPI

Hiral Patel, APRN

  • Family Nurse Practitioner
  • Mt Prospect, IL
National Provider Identifier
1720799885
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025423 Issued in IL
Practice address
70 E Busse Ave
Mt Prospect, IL 60056-3215
Phone
(847) 749-4408
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.025423 IL Primary

Addresses

Primary practice location

70 E Busse Ave
Mt Prospect, IL 60056-3215

Mailing address

70 E Busse Ave
Mount Prospect, IL 60056-3215
Phone (847) 749-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209.025423ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Labs Inc CurrentSince Dec 13, 2022 Accepting new patients
360 Immediate Care LLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

70 E Busse Ave
Mt Prospect, IL 60056
Phone (847) 749-4408

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1720799885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E BUSSE AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563215",
            "telephone_number": "847-749-4408",
            "fax_number": "847-749-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E BUSSE AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563215",
            "telephone_number": "847-749-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIRAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.