Active NPI
Nilesh G Patel, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125064043
- Practice address
- 1500 S California Ave
Department of Medicine
Chicago, IL 60608-1729 - Phone
- (773) 542-2000
- NPI assigned
- Jun 28, 2013
- Last updated
- Jun 28, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125064043 | IL | Primary |
Addresses
Primary practice location
1500 S California Ave
Department of Medicine
Chicago, IL 60608-1729
Mailing address
2801 S King Dr
Apt 1513
Chicago, IL 60616
Phone (352) 262-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125064043 | Other | IL | PHYSICIAN-TEMPORARY MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3404 N Lecanto Hwy
Suite C
Beverly Hills, FL 34465-3569
Phone (352) 746-1558
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone (352) 795-8490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125064043 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| West Florida Medical Associates P a | Internal Medicine | Current | Accepting new patients |
| Nature Coast Geriatric Services LLC | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | Accepting new patients |
| West Florida Medical Associates, PA | Internal Medicine | Current | Accepting new patients |
Locations
3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227
3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867
3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558
6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- npatel296956@direct.tgh.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Beverly Hills, FL
- NPI 1417340654
-
- Internal Medicine Physician
- Beverly Hills, FL
- NPI 1265515001
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba Comprehensive Primary Care
- Family Medicine Physician
- Inverness, FL
- NPI 1770724130
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
dba Tampa General Hospital Crystal River
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1760822159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 S KING DR",
"address_2": "APT 1513",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "352-262-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S CALIFORNIA AVE",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081729",
"telephone_number": "773-542-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NILESH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125064043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN-TEMPORARY MEDICAL LICENSE",
"identifier": "125064043",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.
- 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.