Gravnet L.L.C

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

GRAVNET L.L.C

Practice address

2608 Bershire Dr
Champaign, IL 61821-5703

Phone

(630) 481-6399

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jay Patel Sr., D.O.NPI 1326492620

Title

Medical Director

Phone

(630) 481-6399

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay A Patel, D.O.

  • Family Medicine Physician
  • Urbana, IL
  • NPI 1326492620
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1831965409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 BERSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215703",
            "telephone_number": "630-481-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 BERSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215703",
            "telephone_number": "630-481-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVNET L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-481-6399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Graff, LSW
• Simone Graham-Bickham
• Erin Graham
• Granite City Dental Care LTD
• Jordan Malik Grant
• Dana Gray, DDS
• Olivia Gray, LCPC
• Gray,Yallaly & Black, D.D.S., LTD.
• Great Winds Counseling PLLC
• Sean-Michael Green

• Adolescent Medicine (Family Medicine) Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Adolescent Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.