Individual provider Active NPI

James Patras, MD

  • Psychiatry Physician
  • River Forest, IL
National Provider Identifier
1811948722
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036065136 Issued in IL
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

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036065136MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120331000067 IL Practitioner - Psychiatry 9234318791 Reassigns benefits to 1 organization
Practice locations: River Forest, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Behavioral HealthGroup PAC ID 7517864143, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Presence Behavioral Health CurrentSince Apr 15, 1997 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.