Priti M. Patel

MD | Pediatric Cardiology | Female

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Complete Profile:

Priti M. Patel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Priti M. Patel
Credential :	MD
Gender :	Female

Business Address:

Priti M. Patel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	530 Ne Glenoak Ave Peoria, IL, 61603-3133 United States
Phone Number :	319-354-1625

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1740483627
NPI Entity Type :	Individual
First Enrolment Date :	07 Jun, 2007
Last Updated On :	05 Jul, 2022

Medicare Participation:

Priti M. Patel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1951447267
Medicare Enrollment ID :	I20090930000022
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1995
Accepts Medicare?	Yes. Priti M. Patel accepts medicare insurance.

Group Practice Association:

Priti M. Patel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Priti M. Patel is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Board Of Trustees Of The University Of Illinois	3072422716	891	1 Illini Dr Peoria, IL - 616052576 Ph: 3096718484	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Priti M. Patel are as mentioned. Primary taxonomy code for Priti M. Patel, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	36156	IA

Legacy Identifiers:

Other legacy medical identifiers of Priti M. Patel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
216946	Other	IL	MEDICARE GROUP PTAN

Other Practice Locations:

Practice Address	City, State	Phone Number
1000 HEALTH CENTER DR, MATTOON, IL, 61938-4644 United States	MATTOON, IL	217-238-4960

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	530 Ne Glenoak Ave Peoria, IL, 61603-3133 United States
Phone Number :	319-354-1625

Business Location:

Patients can refer following map for directions to Priti M. Patel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.