NPIMap

Individual provider Active NPI

Bhadresh K Patel, M.D.

  • Internal Medicine Physician
  • Beverly Hills, FL
National Provider Identifier
1003913252
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0069230 Issued in FL
Practice address
3775 N Lecanto Hwy
Beverly Hills, FL 34465-3559
Phone
(352) 746-0600
Fax
(352) 746-0607
NPI assigned
Sep 20, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0069230 FL Primary

Addresses

Primary practice location

3775 N Lecanto Hwy
Beverly Hills, FL 34465-3559

Mailing address

PO Box 640573
Beverly Hills, FL 34464-0573
Phone (352) 746-1558

Other identifiers 5

IdentifierTypeStateIssuer
660076000MedicaidFL
378926800MedicaidFL
110161539OtherFLRAILROAD MEDICARE PIN
27833OtherFLBCBS OF FLORIDA
CN2848OtherFLRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000582 FL Practitioner - Internal Medicine 5193633758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nature Coast Geriatric Services LLCGroup PAC ID 0244541282, 13 clinicians

Practice addresses (Care Compare)

3404 N Lecanto Hwy
Suite C
Beverly Hills, FL 34465-3569
Phone (352) 746-1558

3775 N Lecanto Hwy
Beverly Hills, FL 34465-3559
Phone (352) 746-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069230FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
West Florida Medical Associates P a Internal Medicine CurrentSince Jun 28, 2010 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Mar 23, 2015 Accepting new patients
West Florida Medical Associates, PA Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients

Locations

3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

3737 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 746-1515

3775 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 746-0600

4363 S Suncoast Blvd
Homosassa Springs, FL 34446
Phone (352) 503-2011

213 S Pine Ave
Inverness, FL 34452
Phone (352) 560-3000

801 Medical Ct E
Inverness, FL 34452
Phone (352) 637-4490

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bpatel296954@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBCCD/Endpoint/AFBCCD

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
HPH HospiceHudson, FL, CCN 101511 Home health agency Corporate Director Jan 1, 2019
Nature Coast Family Medical ClinicBeverly Hills, FL, CCN 103942 Rural health clinic W-2 Managing Employee Jan 1, 2022
Nature Health Associates LLCBeverly Hills, FL, CCN 103893 Rural health clinic 5% Or Greater Direct Ownership Interest
W-2 Managing Employee		 Apr 1, 2010
Apr 1, 2010
Bhadresh Patel- InvernessInverness, FL, CCN 683833 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)		 Apr 13, 2018
Apr 13, 2018

Owned or controlled facilities with NPI records 4

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

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1003913252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640573",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344640573",
            "telephone_number": "352-746-1558",
            "fax_number": "352-746-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653559",
            "telephone_number": "352-746-0600",
            "fax_number": "352-746-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHADRESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0069230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660076000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378926800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "110161539",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "27833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CN2848",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

Verify at the official NPI Registry.