Nisha Patel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111830 Issued in FL

Practice address

2902 59TH St W Ste C
Bradenton, FL 34209-7021

Phone

(248) 659-2718

Fax

(941) 444-4156

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Pennsylvania State University College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology and Nutrition of Central Florida LLCGroup PAC ID 8921000787, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.61 of 100Reported as group

Quality

71.59

Promoting interoperability

97

Improvement activities

40

Cost

76.27

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EACICA/Endpoint/EACICA
• Direct secure messaging: npatel555810@direct.shands.ufl.edu

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.

• Gastroenterology and Nutrition of Central Florida LLC

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1316996945
  Medicare reassignment Care Compare group
• Southwest Florida Medicine PLLC

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1356886790
  Medicare reassignment

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1083175236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 59TH ST W STE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097021",
            "telephone_number": "248-659-2718",
            "fax_number": "941-444-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 59TH ST W STE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097021",
            "telephone_number": "248-659-2718",
            "fax_number": "941-444-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVE'S LIC",
            "identifier": "P340637-93-629-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayankkumar Patel
• Melissa Pravin Patel
• Mihirkumar Patel, PHARM. D
• Neha Patel, D.C.
• Nidhi Patel, PHARMD
• Nishith Patel
• Payal G. Patel, APRN
• Pratik S Patel, MD
• Priyanka Mayankkumar Patel
• Rajdeep Patel

• Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.