Individual provider Active NPI

Palak Patel

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1164958112
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9451002 Issued in FL
Practice address
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone
(407) 851-6226
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9451002 FL Primary

Addresses

Primary practice location

3885 Oakwater Cir
Orlando, FL 32806-6257

Mailing address

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 851-6226

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724000324 FL Practitioner - Nurse Practitioner 5890065999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Kidney Care of CentralGroup PAC ID 1951594761, 5 clinicians

Practice addresses (Care Compare)

3175 Citrus Tower Blvd
Clermont, FL 34711-6885
Phone (352) 240-3812

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9451002FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of Central CurrentSince Oct 15, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Nephrology Associates of Central Florida, P.a. CurrentSince Jun 1, 2017 Accepting new patients
Haines City Hma Physician Management, LLC PastSince Oct 15, 2023 Accepting new patients

Locations

3175 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 240-3812

3175 Citrus Tower Blvd
#C
Clermont, FL 34711
Phone (352) 240-3812

2310 North Blvd W
Davenport, FL 33837
Phone (352) 240-3812

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ppatel179028@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1164958112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-851-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-851-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PALAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9451002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.