NPIMap

Individual provider Active NPI

Devashri Patel

  • Body Imaging Physician
  • Lakeland, FL
National Provider Identifier
1033504451
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
ME148412 Issued in FL
Practice address
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone
(863) 688-2334
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME148412 FL Primary

Addresses

Primary practice location

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542

Mailing address

1963 Fruitridge St
Brandon, FL 33510-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210827001576 FL Practitioner - Diagnostic Radiology 0345645420 Reassigns benefits to 3 organizations
I20230116000866 PA Practitioner - Diagnostic Radiology 0345645420 Reassigns benefits to 1 organization
I20230118000016 NJ Practitioner - Diagnostic Radiology 0345645420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 859-6700

1963 Fruitridge St
Brandon, FL 33510-6006
Phone (484) 526-4000

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 868-1100

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148412FLMDBody Imaging Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Specialists of Lakeland CurrentSince Aug 1, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA CurrentSince Aug 1, 2021 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Aug 16, 2021 Accepting new patients
Progressive Physician Assoc Inc CurrentSince Sep 1, 2022 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Aug 16, 2021 Accepting new patients

Locations

2301 60th Street Ct W
Ste C
Bradenton, FL 34209
Phone (941) 708-8358

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

8200 E 34th Street Cir N
Ste 1404
Wichita, KS 67226

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1033504451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 FRUITRIDGE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335106006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054542",
            "telephone_number": "863-688-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVASHRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME148412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.