Individual provider Active NPI

Hasmukh V Patel, M.D.

  • Surgery Physician
  • Willowbrook, IL
National Provider Identifier
1962408625
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036048033 Issued in IL
Practice address
236 Chaucer CT
Willowbrook, IL 60527-5407
Phone
(708) 788-0707
Fax
(630) 887-9176
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036048033 IL Primary

Addresses

Primary practice location

236 Chaucer CT
Willowbrook, IL 60527-5407

Mailing address

PO Box 1256
Westmont, IL 60559-3856
Phone (708) 788-0707

Other identifiers 1

IdentifierTypeStateIssuer
036048033MedicaidIL

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
I20080513000638 IL Practitioner - General Surgery 3779652045 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036048033ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RML Health Providers Limited Partnership CurrentSince Jan 1, 2023 Accepting new patients

Locations

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

3316 Payshere Cir
Chicago, IL 60674

5601 S County Line Rd
Hinsdale, IL 60521
Phone (630) 286-4000

Organizations & group practices 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1962408625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1256",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593856",
            "telephone_number": "708-788-0707",
            "fax_number": "630-887-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CHAUCER CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275407",
            "telephone_number": "708-788-0707",
            "fax_number": "630-887-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HASMUKH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036048033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.