Individual provider Active NPI

Nilesh G Patel, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1760822159
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125064043 Issued in IL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125064043OtherILPHYSICIAN-TEMPORARY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160919001478 WI Practitioner - Internal Medicine 4385931369 Reassigns benefits to 1 organization
I20181217000593 FL Practitioner - Internal Medicine 4385931369 Reassigns benefits to 2 organizations

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
Nature Coast Geriatric Services LLCGroup PAC ID 0244541282, 13 clinicians

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

LicenseStateTypeSpecialty
125064043ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
West Florida Medical Associates P a Internal Medicine CurrentSince Mar 16, 2021 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Mar 16, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Sep 2, 2016 Accepting new patients
West Florida Medical Associates, PA Internal Medicine CurrentSince Mar 16, 2021 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

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.