Individual provider Active NPI

Mahendrakumar A Patel, M.D.

  • Internal Medicine Physician
  • Arcadia, FL
National Provider Identifier
1124178975
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 47370 Issued in FL
Practice address
888 N Robert Ave
Arcadia, FL 34266-9580
Phone
(863) 494-8401
Fax
(863) 491-5306
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 47370 FL Primary

Addresses

Primary practice location

888 N Robert Ave
Arcadia, FL 34266-9580

Mailing address

700 8TH Ave W
Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008

Other identifiers 2

IdentifierTypeStateIssuer
51269OtherFLBC & BS
042518400MedicaidFL

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
I20040515000363 FL Practitioner - Internal Medicine 9436149069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

1110 E Gibson St
Arcadia, FL 34266-5011
Phone (863) 494-1918

1148 E Gibson St
Community Care Family Clinic
Arcadia, FL 34266-5011
Phone (863) 494-6222

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

4805 26TH St W
Bradenton, FL 34207-1706
Phone (941) 753-7843

5325 26TH St W
Bradenton, FL 34207-3012
Phone (941) 708-8500

579 S Indiana Ave
Suite a
Englewood, FL 34223-3751
Phone (941) 460-1341

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 47370FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Nov 18, 2013 Accepting new patients
Desoto County Hospital District CurrentSince Jul 1, 2010 Accepting new patients
MCR Health, Inc. CurrentSince Nov 18, 2013 Accepting new patients
MCR Health, Inc. Internal Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

888 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8401

1148 E Gibson St
Arcadia, FL 34266
Phone (863) 491-5774

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

404 7th St W
Palmetto, FL 34221
Phone (941) 729-3856

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • Direct secure messaging: mahendrakumar.patel.1@11352.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1124178975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W",
            "address_2": "STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4008",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 N ROBERT AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342669580",
            "telephone_number": "863-494-8401",
            "fax_number": "863-491-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAHENDRAKUMAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 47370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "51269",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042518400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.