Active NPI
Archana Patel, PA-C
- Physician Assistant
- St Charles, IL
National Provider Identifier
1962836353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085001314
- Practice address
- 2000 W Main St
Suite M
St Charles, IL 60174-1775 - Phone
- (630) 584-9242
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085001314 | IL | Primary |
Addresses
Primary practice location
2000 W Main St
Suite M
St Charles, IL 60174-1775
Mailing address
2000 W Main St
Suite M
St Charles, IL 60174-1775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085001314 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Express, LLC | Past | Accepting new patients | |
| TT Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- St Charles, IL
- NPI 1821059452
-
- Family Medicine Physician
- Crystal Lake, IL
- NPI 1215528922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1962836353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W MAIN ST",
"address_2": "SUITE M",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MAIN ST",
"address_2": "SUITE M",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741775",
"telephone_number": "630-584-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ARCHANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085001314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.