Individual provider Active NPI

Manali A Patel, MD

  • Obesity Medicine (Preventive Medicine) Physician
  • Bloomingdale, IL
National Provider Identifier
1770825853
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
License
036138659 Issued in IL
Practice address
473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674
Phone
(630) 242-2455
Fax
(630) 242-2435
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 70031274 IL
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 036138659 IL Primary
Internal Medicine Physician 207R00000X 036138659 IL
Hospitalist Physician 208M00000X 036138659 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674

Mailing address

473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674
Phone (630) 242-2455

Other practice location 1

300 Randall Rd
Geneva, IL 60134-4220
Phone (630) 933-4700

Other practice location 2

25 N Winfield Rd
Winfield, IL 60190-1295
Phone (630) 933-4700

Other practice location 3

800 N Westmoreland Rd Ste Ll20
Lake Forest, IL 60045-1605
Phone (847) 535-8404

Other identifiers 5

IdentifierTypeStateIssuer
036138659OtherILMEDICAID PROVIDER NUMBER
F401260602OtherILMEDICARE PTAN
206147OtherILMEDICARE PTAN GROUP
036138659MedicaidIL
F400326168OtherILMEDICARE PTAN INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160919001615 IL Practitioner - HospitalistPractitioner - Internal Medicine 7618272402 Reassigns benefits to 3 organizations
I20250108002437 MN Practitioner - Internal Medicine 7618272402 Reassigns benefits to 2 organizations
I20250108002969 WI Practitioner - Internal Medicine 7618272402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians
Livingwell Clinic PLLCGroup PAC ID 4688187149, 2 clinicians
SSM Health Care of Wisconsin IncGroup PAC ID 8527977867, 19 clinicians

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Pavillion B 3Rd FL
Lake Forest, IL 60045-1659
Phone (847) 535-8500

1000 Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700

473 W Army Trail Rd
Suite 105
Bloomingdale, IL 60108-2674
Phone (630) 242-2455

600 N Westmoreland Rd
Suite 1100
Lake Forest, IL 60045-1659
Phone (847) 535-9510

660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036138659ILMDInternal Medicine Physician
70031274ILMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Internal Medicine CurrentSince May 24, 2025 Accepting new patients
Livingwell Clinic PLLC Internal Medicine CurrentSince Mar 14, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Aug 17, 2016 Accepting new patients
SSM Health Care of Wisconsin, Inc. Internal Medicine CurrentSince Dec 8, 2024 Accepting new patients
Allina Health System CurrentSince Dec 1, 2024 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 24, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince Aug 17, 2016 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Allina Health System CurrentSince Dec 1, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Allina Health System CurrentSince Dec 1, 2024 Accepting new patients
Allina Health System CurrentSince Dec 1, 2024 Accepting new patients
Fairview Health Services CurrentSince Sep 1, 2025 Accepting new patients

Locations

473 W Army Trail Rd
Ste 105
Bloomingdale, IL 60108
Phone (630) 242-2455

Dept 5777
Carol Stream, IL 60122

7153 Solutions Ctr
Chicago, IL 60677

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

800 N Westmoreland Rd
Ste LL20
Lake Forest, IL 60045
Phone (847) 535-8404

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600

Interoperability endpoints

  • Direct secure messaging: mpatel2367038@fairview.direct-ci.com
  • Direct secure messaging: mpatel527324@direct-ehr-ssmhc.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1770825853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD STE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "630-242-2455",
            "fax_number": "630-242-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 W ARMY TRAIL RD STE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082674",
            "telephone_number": "630-242-2455",
            "fax_number": "630-242-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344220",
            "country_code": "US",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901295",
            "country_code": "US",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Westmoreland Rd Ste Ll20",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451605",
            "country_code": "US",
            "telephone_number": "847-535-8404",
            "fax_number": "847-535-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANALI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "IL",
            "license": "70031274",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036138659",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036138659",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036138659",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "036138659",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F401260602",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138659",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "F400326168",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.