Organization Active NPI

Regency Medical Center, P.C.

  • Family Medicine Physician
  • Lake Barrington, IL
National Provider Identifier
1972687481
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGENCY MEDICAL CENTER, P.C.
Practice address
22285 N Pepper Rd Ste 302
Lake Barrington, IL 60010-2541
Phone
(847) 726-0774
Fax
(847) 277-1549
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Ankita PatelNPI 1528287620
Title
MD
Phone
(847) 726-0774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

22285 N Pepper Rd Ste 302
Lake Barrington, IL 60010-2541

Mailing address

22285 N Pepper Rd Ste 302
Lake Barrington, IL 60010-2541
Phone (847) 726-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723000904 IL Part B Supplier - Clinic/Group Practice 0941280481 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Lake Barrington, IL; Palatine, IL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1098237Regency Medical Center22285 N Pepper Rd - Ste 302, Lake Barrington, IL 60010Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Locations

5911 N West Hwy
Ste 108
Crystal Lake, IL 60014
Phone (815) 356-8716

6440 Grand Ave
#200
Gurnee, IL 60031
Phone (847) 244-6900

591 Ela Rd
Lake Zurich, IL 60047
Phone (847) 487-1705

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1972687481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 302",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102541",
            "telephone_number": "847-726-0774",
            "fax_number": "847-277-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 302",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102541",
            "telephone_number": "847-726-0774",
            "fax_number": "847-277-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKITA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-726-0774"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.