Individual provider Active NPI

Radha Patel, PA

  • Physician Assistant
  • The Villages, FL
National Provider Identifier
1013736883
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119594 Issued in FL
Practice address
13690 N US Highway 441
The Villages, FL 32159-6810
Phone
(352) 732-7779
Fax
(352) 732-2664
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119594 FL Primary

Addresses

Primary practice location

13690 N US Highway 441
The Villages, FL 32159-6810

Mailing address

13690 N US Highway 441
The Villages, FL 32159-6810
Phone (352) 732-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530001183 FL Practitioner - Physician Assistant 8224547427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nosky PA 7 clinicians
Michael J Freeman MD PA 6 clinicians

Practice addresses (Care Compare)

1157 Miranda LN
Kissimmee, FL 34741-0763
Phone (407) 483-4950

2723 SE Maricamp Rd
Ocala, FL 34471-5537
Phone (352) 732-7779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9119594FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Freeman MD PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1013736883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 N US HIGHWAY 441",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596810",
            "telephone_number": "352-732-7779",
            "fax_number": "352-732-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 N US HIGHWAY 441",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596810",
            "telephone_number": "352-732-7779",
            "fax_number": "352-732-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.