Individual provider Active NPI

Jagdish R Patel, M.D.

  • Cardiovascular Disease Physician
  • Dekalb, IL
National Provider Identifier
1891704037
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-090465 Issued in IL
Practice address
5 Kish Hospital Dr Ste 103
Dekalb, IL 60115-9602
Phone
(630) 232-0280
Fax
(630) 232-3895
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-090465 IL Primary

Addresses

Primary practice location

5 Kish Hospital Dr Ste 103
Dekalb, IL 60115-9602

Mailing address

5 Kish Hospital Dr Ste 103
Dekalb, IL 60115-9602
Phone (630) 232-0280

Other practice location 1

2530 Hauser Ross Dr
Suite 100
Sycamore, IL 60178-3162
Phone (815) 748-7076

Other practice location 2

1850 Gateway Dr
Sycamore, IL 60178-3192
Phone (815) 758-8671

Other identifiers 1

IdentifierTypeStateIssuer
207RC0000XOtherTAXONOMY

Other names 1

  • Jagdishchandra R Patel Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000072 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587560875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484

1850 Gateway Dr
Sycamore, IL 60178-3192

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4060

302 Delnor Dr
Suite 206
Geneva, IL 60134-4220
Phone (331) 732-4600

304 Randall Rd
Geneva, IL 60134-4200
Phone (630) 352-5450

345 Delnor Dr
Geneva, IL 60134-4220
Phone (630) 938-3100

5 Kish Hospital Dr
Dekalb, IL 60115-9602

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090465ILMDCardiovascular Disease Physician
036056772ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 19, 2024 Accepting new patients
Kishwaukee Cardiology Associates, LTD Cardiovascular Disease Current Accepting new patients
Valley West Community Hospital CurrentSince Jun 17, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 19, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 17, 2019 Accepting new patients
Valley West Community Hospital Current Accepting new patients
Central Dupage Physician Group CurrentSince Jun 17, 2019 Accepting new patients
Valley West Community Hospital CurrentSince Jun 17, 2019 Accepting new patients
Northern Illinois Imaging Specialists LLC Past Accepting new patients

Locations

Carol Stream, IL 60122

Dept 4698
Carol Stream, IL 60122

Dept 5777
Carol Stream, IL 60122

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

5 Kish Hospital Dr
Ste 103
DeKalb, IL 60115

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1310 N Main St
Ste 205
Sandwich, IL 60548
Phone (815) 748-7076

1310 N Main St
Ste 200
Sandwich, IL 60548
Phone (815) 786-7150

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

1850 Gateway Dr
Ste B
Sycamore, IL 60178
Phone (815) 758-8671

2530 Hauser Ross Dr
Ste 100
Sycamore, IL 60178
Phone (608) 313-9992

1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 22

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 22

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1891704037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KISH HOSPITAL DR STE 103",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KISH HOSPITAL DR STE 103",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Hauser Ross Dr",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783162",
            "country_code": "US",
            "telephone_number": "815-748-7076",
            "fax_number": "815-748-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783192",
            "country_code": "US",
            "telephone_number": "815-758-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAGDISH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-090465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207RC0000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAGDISHCHANDRA",
            "last_name": "PATEL",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.