Active NPI
Pratik Bharat Patel, MD
- Otolaryngology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036162746
- Practice address
- 111 W Jackson Blvd Lbby 106
Chicago, IL 60604-4142 - Phone
- (888) 938-3838
- Fax
- (888) 919-1083
- NPI assigned
- Apr 5, 2014
- Last updated
- Dec 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01089706A | IN | |
| Otolaryngology Physician | 207Y00000X | 036162746 | IL | Primary |
Addresses
Primary practice location
111 W Jackson Blvd Lbby 106
Chicago, IL 60604-4142
Mailing address
10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838
Other practice location 1
1125 South Blvd
Oak Park, IL 60302-2812
Phone (888) 938-3838
Other practice location 2
17859 80th Ave
Tinley Park, IL 60477-5023
Phone (888) 938-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Harvard Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Jackson Blvd
Lbby 106
Chicago, IL 60604-4142
Phone (888) 938-3838
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Ear Nose & Throat Specialists, PLLC | Otolaryngology | Current | Accepting new patients |
| Center for Sleep and Nasal Sinus Disorders, LLC | Current | Accepting new patients | |
| Center for Sleep and Nasal Sinus Disorders, LLC | Otolaryngology | Past | Accepting new patients |
Locations
111 W Jackson Blvd
Lbby 106
Chicago, IL 60604
1150 Essington Rd
Ste 101
Joliet, IL 60435
Phone (815) 823-8460
1739 Freedom Dr
Ste 101
Naperville, IL 60563
Phone (630) 799-0122
984 Willow Rd
Ste H
Northbrook, IL 60062
1125 South Blvd
Oak Park, IL 60302
2060 E Algonquin Rd
Ste 720
Schaumburg, IL 60173
Phone (847) 496-4693
17859 80th Ave
Tinley Park, IL 60477
Phone (708) 709-9600
925 N Milwaukee Ave
Unit 200
Vernon Hills, IL 60061
7388 Business Center Dr
Avon, IN 46123
Phone (317) 272-0480
6920 S East St
Ste B
Indianapolis, IN 46227
Phone (317) 497-6880
9500 Priority Way West Dr
#100
Indianapolis, IN 46240
53760 Generations Dr
South Bend, IN 46635
Phone (219) 247-4444
10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226
Interoperability endpoints
- https://api.platform.athenahealth.com/19820/brand/1/csg/1/fhir/r4
- ppatel@coastal.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advent
- Otolaryngology Physician
- Vernon Hills, IL
- NPI 1184281735
-
- Sleep Medicine (Otolaryngology) Physician
- South Bend, IN
- NPI 1568015485
-
dba Advent
- Otolaryngology Physician
- Avon, IN
- NPI 1235997800
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1902224942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 W INNOVATION DR STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264851",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W JACKSON BLVD LBBY 106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606044142",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
}
],
"practiceLocations": [
{
"address_1": "1125 South Blvd",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603022812",
"country_code": "US",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17859 80th Ave",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604775023",
"country_code": "US",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIK",
"middle_name": "BHARAT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01089706A",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036162746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.