Bhavin Patidar, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME118915 Issued in FL

Practice address

3225 S Macdill Ave Ste 129-300
Tampa, FL 33629-8171

Phone

(813) 441-6803

Fax

(813) 524-6352

NPI assigned

Nov 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Cerebrum Healthcare LLC

  • Neurology Physician
  • Tampa, FL
  • NPI 1255849055
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1114253796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 S MACDILL AVE STE 129-300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298171",
            "telephone_number": "813-441-6803",
            "fax_number": "813-524-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 S MACDILL AVE STE 129-300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298171",
            "telephone_number": "813-441-6803",
            "fax_number": "813-524-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIDAR",
        "first_name": "BHAVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-08-11",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125.057275",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME118915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011056500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paths Mental Health, LLC
• Pathway Mental Health Services, Inc.
• Pathway of Florida, LLC
• Pathways Health Advocacy
• Michael William Patica Jr.
• Patient Directed Care Inc
• Patient Directed Care, Inc.
• Patient RX Solutions Pharmacy LLC
• Patient'S Choice Wheelchair Transport Inc.
• Devina Omeidi Patil, M.D.

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.