Individual provider Active NPI

Aftab Patni, MD

  • Otolaryngology Physician
  • Winter Park, FL
National Provider Identifier
1043214307
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME89514 Issued in FL
Practice address
133 Benmore Dr
Ste 100
Winter Park, FL 32792-4143
Phone
(407) 644-4883
Fax
(407) 644-3697
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME89514 FL Primary

Addresses

Primary practice location

133 Benmore Dr
Ste 100
Winter Park, FL 32792-4143

Mailing address

133 Benmore Dr
Ste 100
Winter Park, FL 32792-4143
Phone (407) 644-4883

Other identifiers 6

IdentifierTypeStateIssuer
01107626OtherAMERIGROUP
ME89514OtherWORKER'S COMP
P00360992OtherRR MEDICARE
270382300MedicaidFL
P00143562OtherRR MEDICARE
37632OtherBLUE CROSS

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
I20040621000976 FL Practitioner - Otolaryngology 1557346962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111
Phone (407) 644-4883

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
65.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89514FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince May 1, 2014 Accepting new patients
The Nemours Foundation CurrentSince May 1, 2014 Accepting new patients
The Ear Nose and Throat Surgical Associates PA Otolaryngology CurrentSince Jul 1, 2004 Accepting new patients

Locations

107 Hermits Trl
Altamonte Springs, FL 32701
Phone (407) 834-9120

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

400 Celebration Pl
Ste A120
Kissimmee, FL 34747
Phone (407) 228-8066

795 Primera Blvd
Ste 1031
Lake Mary, FL 32746
Phone (407) 829-8981

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

1717 S Orange Ave
Ste 100
Orlando, FL 32806

44 W Michigan St
Orlando, FL 32806
Phone (407) 422-4921

133 Benmore Dr
Ste 100
Winter Park, FL 32792

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBIDD/Endpoint/GBBIDD
  • Direct secure messaging: apatni47917@direct.nemours.org

Organizations & group practices 4

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 3

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1043214307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR",
            "address_2": "STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924143",
            "telephone_number": "407-644-4883",
            "fax_number": "407-644-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR",
            "address_2": "STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924143",
            "telephone_number": "407-644-4883",
            "fax_number": "407-644-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNI",
        "first_name": "AFTAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME89514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01107626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "ME89514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00360992",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270382300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00143562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "37632",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.