Active NPI
Mukti B Patel, PA-C
- Medical Physician Assistant
- Belleview, FL
National Provider Identifier
1164492864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103092
- Practice address
- 5051 SE 110TH St
Belleview, FL 34420-3115 - Phone
- (352) 245-9157
- Fax
- (352) 245-3031
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103092 | FL | Primary |
Addresses
Primary practice location
5051 SE 110TH St
Belleview, FL 34420-3115
Mailing address
14655 Galaxie Ave
Apple Valley, MN 55124-8602
Phone (952) 432-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292223100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11316 | MN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Hospital | Current | Accepting new patients | |
| Ocala Health Primary Care LLC | Past | Accepting new patients |
Locations
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
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 and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- Obstetrics & Gynecology Physician
- Northfield, MN
- NPI 1154350783
-
- Family Medicine Physician
- Ocala, FL
- NPI 1720398456
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1164492864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14655 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551248602",
"telephone_number": "952-432-6161",
"fax_number": "952-432-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5051 SE 110TH ST",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344203115",
"telephone_number": "352-245-9157",
"fax_number": "352-245-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MUKTI",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292223100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.