Individual provider Active NPI

Sarangi R. Patel, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lombard, IL
National Provider Identifier
1801401088
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021126 Issued in IL
Practice address
2500 S Highland Ave Ste 230
Lombard, IL 60148-7103
Phone
(630) 429-9000
Fax
(630) 429-9060
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 209021126 IL Primary

Addresses

Primary practice location

2500 S Highland Ave Ste 230
Lombard, IL 60148-7103

Mailing address

105 Flamingo Dr
Roselle, IL 60172-4060
Phone (847) 630-7626

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
I20210421000360 IL Practitioner - Nurse Practitioner 6204244825 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209021126ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare, Inc. CurrentSince Dec 15, 2023 Accepting new patients
Primary Care Services CurrentSince Feb 21, 2023 Accepting new patients
Accumed Center, S.C. PastSince Sep 1, 2020 Accepting new patients

Locations

1645 S River Rd
Ste 2
Des Plaines, IL 60018
Phone (224) 803-2273

2500 S Highland Ave
Ste 230
Lombard, IL 60148
Phone (630) 429-9000

Organizations & group practices 3

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1801401088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FLAMINGO DR",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724060",
            "telephone_number": "847-630-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487103",
            "telephone_number": "630-429-9000",
            "fax_number": "630-429-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SARANGI",
        "middle_name": "R.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.