Bhupendra R. Patel MD SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036093543 Issued in IL

Legal business name

BHUPENDRA R. PATEL MD SC

Practice address

9663 Franklin Ave
Franklin Park, IL 60131-2719

Phone

(847) 455-4701

Fax

(847) 455-7805

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bhupendra R. Patel, M.D.NPI 1629140892

Title

Physicain

Phone

(847) 455-4701

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 4

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

• Bhupendra R Patel, M.D.

  • Internal Medicine Physician
  • Franklin Park, IL
  • NPI 1629140892
  Medicare reassignment NPD Authorized official
• Janki Bhalani

  • General Practice Dentistry
  • Franklin Park, IL
  • NPI 1801520036
  NPD
• Aakash Bhupendra Raav, DDS

  • General Practice Dentistry
  • Franklin Park, IL
  • NPI 1265162176
  NPD
• Smita B Patel, D.D.S.

  • General Practice Dentistry
  • Franklin Park, IL
  • NPI 1023142106
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1992839062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312719",
            "telephone_number": "847-455-4701",
            "fax_number": "847-455-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312719",
            "telephone_number": "847-455-4701",
            "fax_number": "847-455-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHUPENDRA R. PATEL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHUPENDRA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICAIN",
        "authorized_official_telephone_number": "847-455-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036093543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093543",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110191689",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda L Bauer, LCSW
• Bujinlkham Bayasgalan
• Arvin E Beltran, P.T.
• Kendall Grace Bertsch
• Janki Bhalani
• Jo Ann Blalock-Davis, MHP
• Lauren Michele Blondell, PHARMD
• Malgorzata Marta Bogun, PHARMD
• Carmela Bojovic, PHARMD
• Ariel Bouie

• Primary Care Clinic/Center in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.