Individual provider Active NPI

Rushiv Patel, DO

  • Family Medicine Physician
  • Lakewood Ranch, FL
National Provider Identifier
1083236038
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19372 Issued in FL
Practice address
14616 State Road 70 E
Lakewood Ranch, FL 34202-8413
Phone
(941) 909-7755
Fax
(941) 213-6958
NPI assigned
May 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19372 FL Primary

Addresses

Primary practice location

14616 State Road 70 E
Lakewood Ranch, FL 34202-8413

Mailing address

932 Silverheels Dr
Westfield, IN 46074-7641

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
I20230825003415 FL Practitioner - Family Practice 7416371471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Physician Alliance LLCGroup PAC ID 6901095231, 8 clinicians

Practice addresses (Care Compare)

14616 State Rd 70
Lakewood Ranch, FL 34202-8413
Phone (941) 909-7755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19372FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Physician Alliance, LLC Family Medicine CurrentSince Sep 13, 2023 Accepting new patients

Locations

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

14616 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 870-3585

Organizations & group practices 1

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1083236038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SILVERHEELS DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14616 STATE ROAD 70 E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028413",
            "telephone_number": "941-909-7755",
            "fax_number": "941-213-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUSHIV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "19372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.