Active NPI
Dipesh B Patel, MD
- Family Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME114015
- Practice address
- 1095 N.W. St. Lucie West Blvd.
Port St. Lucie, FL 34986 - Phone
- (772) 785-5555
- NPI assigned
- Jun 22, 2009
- Last updated
- Oct 13, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME114015 | FL | Primary |
Addresses
Primary practice location
1095 N.W. St. Lucie West Blvd.
Port St. Lucie, FL 34986
Mailing address
3821 SW Coquina Cove Way
Apt. 204
Palm City, FL 34990
Phone (732) 781-8431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006395600 | Medicaid | FL | |
| 14MP0 | Other | FL | FLORIDA BLUE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dpatel27679@direct.martinhealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1095 NW Saint Lucie W Blvd
Suite 104
Port Saint Lucie, FL 34986
Phone (772) 785-5511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114015 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500
1095 NW Saint Lucie West Blvd
#L
Port St Lucie, FL 34986
Phone (772) 785-5595
1095 NW Saint Lucie West Blvd
Ste 104
Port St Lucie, FL 34986
Phone (772) 785-5511
1095 NW Saint Lucie West Blvd
Ste 108
Port St Lucie, FL 34986
Phone (561) 785-5580
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- dpatel2500905@direct.ccf.org
- dpatel27679@direct.martinhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Home Healthcare
- Home Health Agency
- Port St Lucie, FL
- NPI 1831365253
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1730235276
-
dba Pinnacle Home Care
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
-
dba The Roads Home Health Palm Beach
- Home Health Agency
- West Palm Beach, FL
- NPI 1538353438
-
- Home Health Agency
- Stuart, FL
- NPI 1104829696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1093942682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 SW COQUINA COVE WAY",
"address_2": "APT. 204",
"city": "PALM CITY",
"state": "FL",
"postal_code": "34990",
"telephone_number": "732-781-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 N.W. ST. LUCIE WEST BLVD.",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34986",
"telephone_number": "772-785-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIPESH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME114015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006395600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "14MP0",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dpatel27679@direct.martinhealth.org",
"affiliation": "N",
"address_1": "1095 N.W. St. Lucie West Blvd.",
"city": "Port St. Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "34986",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.