Individual provider Active NPI

Miteshkumar Patel

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1003255910
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
006617 Issued in GA
Practice address
121 Divisadero St
San Francisco, CA 94117-3212
Phone
(404) 545-3885
NPI assigned
Jun 25, 2013
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME165515 FL
Hospitalist Physician 208M00000X 006617 GA
Hospitalist Physician 208M00000X ME165515 FL
Family Medicine Physician 207Q00000X 006617 GA Primary

Addresses

Primary practice location

121 Divisadero St
San Francisco, CA 94117-3212

Mailing address

121 Divisadero St
San Francisco, CA 94117-3212

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-3052

Other practice location 2

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973
Phone (650) 826-2945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160608000521 GA Practitioner - Emergency MedicinePractitioner - Family Practice 2769626324 Reassigns benefits to 1 organization
I20171020002034 CA Practitioner - Family PracticePractitioner - Hospitalist 2769626324 Reassigns benefits to 5 organizations
I20240522002930 FL Practitioner - Family Practice 2769626324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
20.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
006617GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Aug 1, 2016 Accepting new patients
Hni Hospital Services of Florida, LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince May 30, 2024 Accepting new patients
Pacific Inpatient Medical Group Hospitalist CurrentSince Feb 1, 2020 Accepting new patients
Inpatient Consultants of Florida Inc Hospitalist CurrentSince May 30, 2024 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 1, 2022 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Oct 15, 2011 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 1, 2022 Accepting new patients
Hni Medical Services of Florida, LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Clarkian Hospitalist Corporation Hospitalist CurrentSince Nov 27, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2016 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Seton Medical Center Past Accepting new patients
Carbon Health Primary Care of California PC Family Medicine PastSince Jul 20, 2025 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1146 N Central Ave
Glendale, CA 91202
Phone (818) 500-0910

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

120 Gordon St
Washington, GA 30673
Phone (706) 678-1177

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mpatel@landmarkhealth-direct.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pacific Heights Transitional Care CenterSan Francisco, CA, CCN 056176 Skilled nursing facility Adp of the SNF Aug 1, 2019
Golden Pavilion HealthcareDaly City, CA, CCN 056394 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 8, 2021
Apr 8, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1003255910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173212",
            "telephone_number": "404-545-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-3052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Oyster Point Blvd Ste 512",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940801973",
            "country_code": "US",
            "telephone_number": "650-826-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESHKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME165515",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "006617",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME165515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "006617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.