Organization Active NPI

Patel Medical Ventures LLC

Doing business as Windermere Medical Center

  • Internal Medicine Physician
  • Windermere, FL
National Provider Identifier
1144668187
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME106053 Issued in FL
Legal business name
PATEL MEDICAL VENTURES LLC
Doing business as
Windermere Medical Center
Practice address
11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone
(407) 876-2273
Fax
(407) 347-3950
NPI assigned
Jun 12, 2013
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Niral Chandrakant Patel, M.DNPI 1912923079
Title
Manager
Phone
(407) 876-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009942 FL
Internal Medicine Physician 207R00000X ME106053 FL Primary
Pediatrics Physician 208000000X ME 71809 FL
Pediatrics Physician 208000000X ME 90801 FL
Family Nurse Practitioner 363LF0000X 9253662 FL

Addresses

Primary practice location

11600 Lakeside Village LN
Windermere, FL 34786-7024

Mailing address

11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone (407) 876-2273

Other names 1

  • WINDERMERE MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

7300 Sandlake Commons Blvd
Ste 304
Orlando, FL 32819
Phone (407) 236-6558

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1144668187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867024",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867024",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL MEDICAL VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAL",
        "authorized_official_middle_name": "CHANDRAKANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-876-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "DC009942",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106053",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 71809",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 90801",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9253662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINDERMERE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.