Active NPI
Vijaykumar C Patel,, M.D
- Family Medicine Physician
- Woodridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036066461
- Practice address
- 7530 Woodward Ave Ste a
Woodridge, IL 60517-3100 - Phone
- (630) 910-1177
- Fax
- (630) 910-4157
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 036066461 | IL | |
| Family Medicine Physician | 207Q00000X | 036066461 | IL | Primary |
Addresses
Primary practice location
7530 Woodward Ave Ste a
Woodridge, IL 60517-3100
Mailing address
7530 Woodward Ave Ste a
Woodridge, IL 60517-3100
Phone (630) 910-1177
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201574 | Other | IL | BLUECROSS BLUESHIELD |
| 080140130 | Other | IL | RAILROAD MEDICARE |
| 363468127 | Other | IL | UNICARE |
| 409868 | Other | IL | HEALTHLINK |
| 036066461 | Medicaid | IL | |
| 5606068 | Other | IL | AETNA |
| 40300 | Other | IL | ADVOCATE HEALTH PARTNER |
Other names 1
- Vijaykumar C 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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
7530 Woodward Ave
Suite a
Woodridge, IL 60517-3100
Phone (630) 910-1177
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066461 | IL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Woodridge Clinic S.C | Adult Medicine | Current | Accepting new patients |
Locations
3900 Gabrielle Ln
Unit 9130
Aurora, IL 60598
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
15884 W 127th St
Ste H
Lemont, IL 60439
Phone (630) 754-8710
805 S Main St
Lombard, IL 60148
Phone (630) 495-2333
7530 Woodward Ave
Ste A
Woodridge, IL 60517
Phone (630) 910-1177
7530 Woodward Ave
#1091
Woodridge, IL 60517
7530 Woodward Ave
#1092
Woodridge, IL 60517
7530 Woodward Ave
Woodridge, IL 60517
Phone (630) 427-1500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECFAAA
- vpatel251051@direct.myadvocateaurora.org
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 and National Provider Directory roles.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Adult Medicine Physician
- Woodridge, IL
- NPI 1033259395
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1972619294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 WOODWARD AVE STE A",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173100",
"telephone_number": "630-910-1177",
"fax_number": "630-910-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 WOODWARD AVE STE A",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173100",
"telephone_number": "630-910-1177",
"fax_number": "630-910-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL,",
"first_name": "VIJAYKUMAR",
"middle_name": "C",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036066461",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036066461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "2201574",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080140130",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "363468127",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "409868",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036066461",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5606068",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE HEALTH PARTNER",
"identifier": "40300",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIJAYKUMAR",
"last_name": "PATEL",
"middle_name": "C",
"credential": "M.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.