Individual provider Active NPI

Tejas Patel, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1861768152
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036135945 Issued in IL
Practice address
3929 Mercy Drive
McHenry, IL 60050-3151
Phone
(815) 759-0800
Fax
(815) 759-2367
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036135945 IL Primary

Addresses

Primary practice location

3929 Mercy Drive
McHenry, IL 60050-3151

Mailing address

PO Box 220
McHenry, IL 60051-0220
Phone (815) 759-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, OR, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160706002296 CA Practitioner - Diagnostic Radiology 9739481292 Reassigns benefits to 2 organizations
I20181227000347 IL Practitioner - Diagnostic Radiology 9739481292 Reassigns benefits to 3 organizations
I20230728001486 OR Practitioner - Diagnostic Radiology 9739481292 Reassigns benefits to 2 organizations
I20250827000794 WI Practitioner - Diagnostic Radiology 9739481292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1279 Arapaho CT
Naperville, IL 60540-0919
Phone (480) 306-6949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142113CAMDMarriage & Family Therapist
13804WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Aug 8, 2025 Accepting new patients
Fanno Creek Clinic LLC CurrentSince Oct 1, 2023 Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 25, 2016 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Aug 6, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 21, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 21, 2018 Accepting new patients
Northwest Medical Homes, LLC CurrentSince Jun 14, 2023 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Sep 25, 2016 Accepting new patients
Northwest Medical Homes, LLC CurrentSince Jun 14, 2023 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients
Optumcare Colorado Medical Group, LLC Past Accepting new patients

Locations

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

2400 SW Vermont St
Portland, OR 97219
Phone (503) 452-0915

2280 Marcola Rd
Springfield, OR 97477
Phone (541) 747-4300

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1861768152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600510220",
            "telephone_number": "815-759-0800",
            "fax_number": "815-759-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 MERCY DRIVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-759-0800",
            "fax_number": "815-759-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036135945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.