Active NPI
Renuka J Patel, APN
- Family Nurse Practitioner
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.000326
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.000326 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Cardiology Institute S.C. | Current | Accepting new patients | |
| Power Partners LLC | Current | Accepting new patients | |
| Mohammad Waseem Kagzi MD LTD | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1568600286
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1861403362
-
- Interventional Cardiology Physician
- Schaumburg, IL
- NPI 1457788424
-
- Sleep Medicine (Internal Medicine) Physician
- Gurnee, IL
- NPI 1750568960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.