Individual provider Active NPI

Arif Ismailbhai Patel, RPN

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1801552872
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041502553 Issued in IL
Practice address
5524 N Kimball Ave Apt 1
Chicago, IL 60625-4621
Phone
(773) 829-1007
NPI assigned
Nov 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041502553 IL Primary

Addresses

Primary practice location

5524 N Kimball Ave Apt 1
Chicago, IL 60625-4621

Mailing address

5524 N Kimball Ave Apt 1
Chicago, IL 60625-4621
Phone (773) 829-1007

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
041502553ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Zoom Diagnostics Inc Current Accepting new patients
Zoom Lab Inc Current Accepting new patients

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1801552872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 N KIMBALL AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254621",
            "telephone_number": "773-829-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 N KIMBALL AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254621",
            "telephone_number": "773-829-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARIF ISMAILBHAI",
        "credential": "RPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041502553",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 13, 2021; 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.