Active NPI
Miteshkumar Patel
- Family Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 006617
- Practice address
- 121 Divisadero St
San Francisco, CA 94117-3212 - Phone
- (404) 545-3885
- NPI assigned
- Jun 25, 2013
- Last updated
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 20.5 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 68.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006617 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Hni Hospital Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Hospitalist | Current | Accepting new patients |
| Pacific Inpatient Medical Group | Hospitalist | Current | Accepting new patients |
| Inpatient Consultants of Florida Inc | Hospitalist | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Clarkian Hospitalist Corporation | Hospitalist | Current | Accepting new patients |
| Au Medical Associates Inc | Current | 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 | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pacific Heights Transitional Care Center | Skilled nursing facility | Adp of the SNF | Aug 1, 2019 |
| Golden Pavilion Healthcare | 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.
-
dba Pacific Heights Transitional Care Center
- Skilled Nursing Facility
- San Francisco, CA
- NPI 1922522507
Adp of the SNF
-
dba Golden Pavilion Healthcare
- Skilled Nursing Facility
- Daly City, CA
- NPI 1447825054
Adp of the SNF, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Ponte Vedra Beach, FL
- NPI 1518529502
CA
-
- Hospitalist Physician
- Daly City, CA
- NPI 1780353227
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1487125019
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1447447248
Hospitalist
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Family Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Family Medicine
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Hospitalist
-
- Emergency Medicine Physician
- Hayward, CA
- NPI 1588249569
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.