Aaron Patel
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Atlantis, FL, FL
NPI 1104455237 · NPPES record last updated Apr 1, 2020
Key facts
- NPI
- 1104455237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5301 South Congress Avenue, 3 South
Atlantis, FL, FL 33462 - Phone
- (561) 548-1711
- NPI assigned
- Apr 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629001826 | FL | Order and Referring Only - General Surgery |
1759703358 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- aaron.patel@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5301 South Congress Avenue, 3 South
Atlantis, FL, FL 33462
Mailing address
5301 South Congress Avenue, 3 South
Atlantis, FL 33462
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.