NPIMap

Individual provider Active NPI

Niraj Baldev Patel, PA-C

  • Surgical Physician Assistant
  • Brandon, FL
National Provider Identifier
1013482447
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9113390 Issued in FL
Practice address
1110 Nikki View Dr
Brandon, FL 33511-4868
Phone
(813) 444-5567
Fax
(813) 444-5569
NPI assigned
Oct 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190111001144 GA Practitioner - Physician Assistant 3577809532
I20200924001704 FL Practitioner - Physician Assistant 3577809532 Reassigns benefits to 2 organizations

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
Total Spine Institute PLLCGroup PAC ID 7517296361, 6 clinicians
Synergic Healthcare Solutions LLCGroup PAC ID 7618235573, 94 clinicians

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

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113390FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Apr 15, 2025 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Apr 15, 2025 Accepting new patients
Tampa General Hospital 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

  • Direct secure messaging: npatel347055@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: niraj.patel@415060067418116.direct.elationemr.com

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.