Active NPI
Niraj Baldev Patel, PA-C
- Surgical Physician Assistant
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9113390
- Practice address
- 1110 Nikki View Dr
Brandon, FL 33511-4868 - Phone
- (813) 444-5567
- Fax
- (813) 444-5569
- NPI assigned
- Oct 12, 2018
- Last updated
- Feb 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9113390 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9113390 | FL | Primary |
Addresses
Primary practice location
1110 Nikki View Dr
Brandon, FL 33511-4868
Mailing address
1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173
Phone (770) 389-3855
Other practice location 1
3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 925-1903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1110 Nikki View Dr
Brandon, FL 33511-4868
Phone (813) 444-5567
11406 US Hwy 301 S
TGH Urgent Care Powered by Fast Tra
Riverview, FL 33578-6170
Phone (813) 925-1903
16521 S US Hwy 301
TGH Urgent Care Powered by Fast Tra
Wimauma, FL 33598-2032
Phone (813) 928-1903
5464 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone (813) 925-1903
799 W Lumsden Rd
TGH Urgent Care Powered by Fast Tra
Brandon, FL 33511-6261
Phone (813) 925-1903
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113390 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903
5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400
16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- niraj.patel@415060067418116.direct.elationemr.com
- npatel347055@direct.tgh.org
Organizations & group practices 9
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.
-
dba Fast Track Urgent Care Center
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1063718013
-
dba Total Spine and Brain Institute, PLLC
- Neurological Surgery Physician
- Brandon, FL
- NPI 1699337808
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
dba Fast Track Urgent Care Center
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
-
- Urgent Care Clinic/Center
- Lutz, FL
- NPI 1558135814
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Brandon Hospital
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1013482447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY STE 110",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815173",
"telephone_number": "770-389-3855",
"fax_number": "770-474-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114868",
"telephone_number": "813-444-5567",
"fax_number": "813-444-5569"
}
],
"practiceLocations": [
{
"address_1": "3301 W Gandy Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336112931",
"country_code": "US",
"telephone_number": "813-925-1903",
"fax_number": "813-749-8370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NIRAJ",
"middle_name": "BALDEV",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113390",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9113390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.