Active NPI
Jyothi Deepak Patil, MD
- Clinical Pathology/Laboratory Medicine Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 036108435
- Practice address
- 2000 Ogden Ave
Aurora, IL 60504-7222 - Phone
- (314) 849-3535
- Fax
- (314) 849-6395
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 036108435 | IL | Primary |
Addresses
Primary practice location
2000 Ogden Ave
Aurora, IL 60504-7222
Mailing address
1050 W Kinzie
Chicago, IL 60642-6537
Phone (314) 849-3535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108435 | Medicaid | IL | |
| P00305120 | Other | IL | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6700
Hospital & facility affiliations
- Copley Memorial Hospital
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036108435 | IL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Aurora LLC | Current | Accepting new patients | |
| Digestive Diseases Consultants of Kankakee, SC | Current | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
1615 N Convent St
Ste 1
Bourbonnais, IL 60914
Phone (815) 602-8253
1100 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 236-4307
5700 Southwyck Blvd
Toledo, OH 43614
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Aurora, IL
- NPI 1427370956
-
- Gastroenterology Physician
- Bourbonnais, IL
- NPI 1407966302
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1972537595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W KINZIE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606426537",
"telephone_number": "314-849-3535",
"fax_number": "314-849-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OGDEN AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605047222",
"telephone_number": "314-849-3535",
"fax_number": "314-849-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "JYOTHI",
"middle_name": "DEEPAK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "IL",
"license": "036108435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108435",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00305120",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.