Individual provider Active NPI

Ankit P Patel, D.O

  • Internal Medicine Physician
  • Westmont, IL
National Provider Identifier
1871941385
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036149145 Issued in IL
Practice address
700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Phone
(630) 528-3215
Fax
(630) 528-3219
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS19876 FL
Hospitalist Physician 208M00000X 036149145 IL
Hospitalist Physician 208M00000X OS19876 FL
Internal Medicine Physician 207R00000X 036149145 IL Primary

Addresses

Primary practice location

700 E Ogden Ave Ste 202
Westmont, IL 60559-1296

Mailing address

700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Phone (630) 528-3215

Other practice location 1

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 928-6274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190730002716 IL Practitioner - Internal Medicine 4486990819 Reassigns benefits to 1 organization
I20231120000499 FL Practitioner - Internal Medicine 4486990819 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036149145ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates of Integrated Medicine LTD. Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Skilled Physician Solutions LLC Internal Medicine Current Accepting new patients
Rockledge Physician Services, LLC Hospitalist CurrentSince Oct 24, 2023 Accepting new patients

Locations

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

350 N Wall St
Ste B302
Kankakee, IL 60901
Phone (815) 329-6500

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215

Organizations & group practices 3

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1871941385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-528-3215",
            "fax_number": "630-528-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-528-3215",
            "fax_number": "630-528-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012901",
            "country_code": "US",
            "telephone_number": "815-928-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKIT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS19876",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036149145",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS19876",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036149145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.