JAYANTIBHAI GOPALBHAI PATEL (MD) – Surgery Physician, NPI 1770510141

JAYANTIBHAI GOPALBHAI PATEL (MD) is a healthcare provider. based in Berwyn, Illinois. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 036047042 (IL). The NPI Number for JAYANTIBHAI GOPALBHAI PATEL (MD) is 1770510141

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
JAYANTIBHAI GOPALBHAI PATEL (MD)
NPI
1770510141
Phone
(708) 788-6270
Address
6834 CERMAK RD
Enumeration Date
28 June 2006
Last Update Date
14 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087886270
Graduation Year
1969 (57 years ago)
PAC ID
8628104866
Professional Enrollment ID
I20100327000077
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JAYANTIBHAI GOPALBHAI PATEL (MD)

  • 6834, West Cermak Road, Berwyn, Cook County, Illinois, 60402, United States

    BERWYN, IL 604022240

    Phone: (708) 788-6270

    Fax: (708) 788-6271

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100327000077IGeneral SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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Reviews

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Frequently asked questions

What is JAYANTIBHAI GOPALBHAI PATEL (MD)'s NPI number?
JAYANTIBHAI GOPALBHAI PATEL (MD)'s NPI is 1770510141 — the number used across U.S. healthcare to identify this provider.
Is JAYANTIBHAI GOPALBHAI PATEL (MD) shown as active in public data?
Registry records indicate JAYANTIBHAI GOPALBHAI PATEL (MD) maintains an active NPI.
What kind of doctor is JAYANTIBHAI GOPALBHAI PATEL (MD)?
JAYANTIBHAI GOPALBHAI PATEL (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JAYANTIBHAI GOPALBHAI PATEL (MD)?
Directory geography for JAYANTIBHAI GOPALBHAI PATEL (MD) centers on Berwyn, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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