Active NPI
Chandrakant B Patel, MD
- Cardiovascular Disease Physician
- Sebring, FL
National Provider Identifier
1083693568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0049560
- Practice address
- 4639 Sun N Lake Blvd
Sebring, FL 33872-2177 - Phone
- (863) 471-1010
- Fax
- (863) 382-3398
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME0049560 | FL | Primary |
Addresses
Primary practice location
4639 Sun N Lake Blvd
Sebring, FL 33872-2177
Mailing address
4639 Sun N Lake Blvd
Sebring, FL 33872-2177
Phone (863) 471-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110001053 | FL | Practitioner - Cardiovascular Disease (Cardiology) | 1254394380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0049560 | FL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1083693568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4639 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722177",
"telephone_number": "863-471-1010",
"fax_number": "863-382-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4639 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722177",
"telephone_number": "863-471-1010",
"fax_number": "863-382-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "CHANDRAKANT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0049560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.