Active NPI
James Patras, MD
- Psychiatry Physician
- River Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036065136
- Practice address
- 7627 West Lake St
Suite 212
River Forest, IL 60305-1878 - Phone
- (708) 366-6130
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036065136 | IL | Primary |
Addresses
Primary practice location
7627 West Lake St
Suite 212
River Forest, IL 60305-1878
Mailing address
7627 West Lake St
Suite 212
River Forest, IL 60305-1878
Phone (708) 366-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036065136 | Medicaid | IL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Behavioral Health | Current | Accepting new patients |
Locations
1820 S 25th Ave
Broadview, IL 60155
Phone (708) 338-3806
1414 Main St
Melrose Park, IL 60160
Phone (708) 681-0073
9855 W Roosevelt Rd
Westchester, IL 60154
Phone (708) 345-3076
Interoperability endpoints
- james.patras.1@21300.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melrose Park, IL
- NPI 1477622298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1811948722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7627 WEST LAKE ST",
"address_2": "SUITE 212",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051878",
"telephone_number": "708-366-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7627 WEST LAKE ST",
"address_2": "SUITE 212",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051878",
"telephone_number": "708-366-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRAS",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036065136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036065136",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.