Individual provider Active NPI

Chirag Patel, APN, FNP

  • Family Nurse Practitioner
  • West Chicago, IL
National Provider Identifier
1881063808
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013147 Issued in IL
Practice address
245 W Roosevelt Rd Ste 150
West Chicago, IL 60185-4818
Phone
(630) 293-4124
Fax
(630) 293-9909
NPI assigned
Sep 21, 2015
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.013147 IL Primary

Addresses

Primary practice location

245 W Roosevelt Rd Ste 150
West Chicago, IL 60185-4818

Mailing address

245 W Roosevelt Rd Ste 150
West Chicago, IL 60185-4818
Phone (630) 293-4124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpatel1950@direct.achn.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151113000310 IL Practitioner - Nurse Practitioner 8729398227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013147ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Nov 9, 2015 Accepting new patients
Access Community Health Network CurrentSince Nov 9, 2015 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

1120 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 342-1554

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

245 W Roosevelt Rd
Ste 150
West Chicago, IL 60185
Phone (630) 293-4124

Interoperability endpoints

  • Direct secure messaging: cpatel1950@direct.achn.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1881063808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W ROOSEVELT RD STE 150",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854818",
            "telephone_number": "630-293-4124",
            "fax_number": "630-293-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W ROOSEVELT RD STE 150",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854818",
            "telephone_number": "630-293-4124",
            "fax_number": "630-293-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHIRAG",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpatel1950@direct.achn.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "245 W Roosevelt Rd Ste 150",
            "city": "West Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601854818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

Verify at the official NPI Registry.