Active NPI
Jagdish R Patel, M.D.
- Cardiovascular Disease Physician
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-090465
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207RC0000X | Other | TAXONOMY |
Other names 1
- Jagdishchandra R Patel
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060307000072 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 4587560875 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwestern Medical Faculty Foundation
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
- Valley West Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Copley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-090465 | IL | MD | Cardiovascular Disease Physician |
| 036056772 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Kishwaukee Cardiology Associates, LTD | Cardiovascular Disease | Current | Accepting new patients |
| Valley West Community Hospital | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Valley West Community Hospital | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Valley West Community Hospital | Current | 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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
IL
-
- Cardiovascular Disease Physician
- Sycamore, IL
- NPI 1114177508
Cardiovascular Disease
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Durable Medical Equipment & Medical Supplies
- Evanston, IL
- NPI 1124733019
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1275759789
-
- Durable Medical Equipment & Medical Supplies
- Glenview, IL
- NPI 1316590409
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1376961524
-
- Eyewear Supplier
- Evanston, IL
- NPI 1427741909
-
- Durable Medical Equipment & Medical Supplies
- Lake Forest, IL
- NPI 1467005520
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.