Active NPI
Tejas Patel, M.D.
- Diagnostic Radiology Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036135945
- 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
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 |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
| License | State | Type | Specialty |
|---|---|---|---|
| 142113 | CA | MD | Marriage & Family Therapist |
| 13804 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| Fanno Creek Clinic LLC | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Northwest Medical Homes, LLC | Current | Accepting new patients | |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Northwest Medical Homes, LLC | Current | Accepting new patients | |
| Medical Xray Consultants, LTD | Past | 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.
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
IL
-
- Internal Medicine Physician
- Portland, OR
- NPI 1609876705
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Diagnostic Radiology, IL
-
- Family Medicine Physician
- Springfield, OR
- NPI 1114974946
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
-
- Family Medicine Physician
- Eugene, OR
- NPI 1174053094
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Anaheim, CA
- NPI 1952333460
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1679663447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.