Individual provider Active NPI

Swetaben Patidar, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1144750258
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME146933 Issued in FL
Practice address
4820 5TH Ave N
St Petersburg, FL 33713-7218
Phone
(727) 321-6768
Fax
(727) 327-8741
NPI assigned
Jun 13, 2017
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 ME146933 FL Primary

Addresses

Primary practice location

4820 5TH Ave N
St Petersburg, FL 33713-7218

Mailing address

5260 78TH Ave N Unit 2616
Pinellas Park, FL 33780-8106
Phone (727) 321-6768

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
I20201215000029 FL Practitioner - Internal Medicine 5092127225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunergy Physicians LLCGroup PAC ID 0547672776, 8 clinicians

Practice addresses (Care Compare)

5800 49TH St N
Suite 208
St Petersburg, FL 33709-2100
Phone (727) 280-5767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunergy Physicians LLC Internal Medicine CurrentSince Nov 8, 2020 Accepting new patients
Rishi Patel DO Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Sun State Hospitalists LLC CurrentSince Nov 18, 2020 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

5260 78th Ave N
Unit 2616
Pinellas Park, FL 33780

4820 5th Ave N
St Petersburg, FL 33713
Phone (727) 321-6768

5800 49th St N
Ste 208
St Petersburg, FL 33709
Phone (727) 280-5767

Organizations & group practices 3

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.

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1144750258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 78TH AVE N UNIT 2616",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337808106",
            "telephone_number": "727-321-6768",
            "fax_number": "727-327-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137218",
            "telephone_number": "727-321-6768",
            "fax_number": "727-327-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIDAR",
        "first_name": "SWETABEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.