Individual provider Active NPI

Renuka J Patel, APN

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1992930689
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000326 Issued in IL
Practice address
804 E Woodfield Rd
Schaumburg, IL 60173-4776
Phone
(847) 605-9500
Fax
(847) 605-8700
NPI assigned
May 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.000326 IL Primary

Addresses

Primary practice location

804 E Woodfield Rd
Schaumburg, IL 60173-4776

Mailing address

808 E Woodfield Rd Ste 100
Schaumburg, IL 60173-4836
Phone (847) 605-0030

Other practice location 1

1824 Johns Dr
Glenview, IL 60025-1657
Phone (630) 363-6519

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000064 IL Practitioner - Nurse Practitioner 6800067885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.000326ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Cardiology Institute S.C. CurrentSince Jun 18, 2011 Accepting new patients
Power Partners LLC Current Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Jun 18, 2011 Accepting new patients
Chicago Vascular Clinic LTD Past Accepting new patients

Locations

7035 North Ave
Oak Park, IL 60302
Phone (708) 358-1000

808 E Woodfield Rd
Ste 100
Schaumburg, IL 60173

804 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

804 E Woodfield Rd
Ste 300
Schaumburg, IL 60173
Phone (847) 605-0030

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1992930689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WOODFIELD RD STE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734836",
            "telephone_number": "847-605-0030",
            "fax_number": "847-637-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E WOODFIELD RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734776",
            "telephone_number": "847-605-9500",
            "fax_number": "847-605-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Johns Dr",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600251657",
            "country_code": "US",
            "telephone_number": "630-363-6519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RENUKA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.