Individual provider Active NPI

Komal Patel

  • Rheumatology Physician
  • Brandon, FL
National Provider Identifier
1023540390
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
163799 Issued in FL
Practice address
517 Eichenfeld Drive
Unit 102
Brandon, FL 33511-5942
Phone
(813) 333-5080
Fax
(813) 773-7717
NPI assigned
Mar 28, 2017
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 163799 FL Primary

Addresses

Primary practice location

517 Eichenfeld Drive
Unit 102
Brandon, FL 33511-5942

Mailing address

938 Cypress Village Blvd Ste a
Sun City Center, FL 33573-6835
Phone (813) 333-5080

Other practice location 1

938 Cypress Village Blvd Ste A
Sun City Center, FL 33573-6835
Phone (813) 333-5080

Other practice location 2

3102 W Cypress St
Tampa, FL 33607-5118
Phone (813) 333-5080

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507000287 FL Practitioner - Rheumatology 7517341233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Rheumatology and Arthritis Center LLCGroup PAC ID 9638406739, 10 clinicians

Practice addresses (Care Compare)

938 Cypress Village Blvd
Suite a
Sun City Center, FL 33573-6835
Phone (813) 333-5080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163799FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Rheumatology and Arthritis Center LLC CurrentSince Jan 14, 2024 Accepting new patients
Sunshine Rheumatology and Arthritis Center LLC Rheumatology CurrentSince Jun 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

517 Eichenfeld Dr
Ste 102
Brandon, FL 33511
Phone (813) 333-5080

613 Medical Care Dr
Brandon, FL 33511
Phone (813) 333-6080

938 Cypress Village Blvd
Ste A
Sun City Center, FL 33573
Phone (813) 333-5080

771 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 333-5080

938 Cypress Village Blvd
Sun City Ctr, FL 33573

3102 W Cypress St
Tampa, FL 33607
Phone (813) 333-5080

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CADIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CADIBD/Endpoint/CADIBD
  • Direct secure messaging: kpatel72038@direct.phhs.org

Organizations & group practices 3

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 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1023540390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 CYPRESS VILLAGE BLVD STE A",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736835",
            "telephone_number": "813-333-5080",
            "fax_number": "813-773-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 EICHENFELD DRIVE",
            "address_2": "UNIT 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115942",
            "telephone_number": "813-333-5080",
            "fax_number": "813-773-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 Cypress Village Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736835",
            "country_code": "US",
            "telephone_number": "813-333-5080",
            "fax_number": "813-773-7717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3102 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075118",
            "country_code": "US",
            "telephone_number": "813-333-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KOMAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "163799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.