Organization Active NPI

Allergy Asthma Specialists, PA

  • Allergy Physician
  • Altamonte Springs, FL
National Provider Identifier
1174689574
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGY ASTHMA SPECIALISTS, PA
Practice address
661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5105
Phone
(407) 339-3002
Fax
(407) 260-5039
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Pragnesh H Patel, M.D.NPI 1912973033
Title
President
Phone
(407) 339-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5105

Mailing address

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5105
Phone (407) 339-3002

Other identifiers 1

IdentifierTypeStateIssuer
379739200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000890 FL Part B Supplier - Clinic/Group Practice 9537121645 Receives reassigned benefits from 6 practitioners
Practice locations: Orlando, FL; Ocoee, FL; Clermont, FL; Altamonte Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1008863Allergy Asthma Specialists661 E Altamonte Dr #315, Altamonte Springs, FL 32701Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701
Phone (407) 339-3002

3111 Citrus Tower Blvd
Ste A
Clermont, FL 34711
Phone (352) 243-6767

1142 Kelton Ave
Ocoee, FL 34761
Phone (407) 219-3620

7758 Wallace Rd
Ste J
Orlando, FL 32819
Phone (407) 351-4328

7780 Lake Underhill Rd
Orlando, FL 32822

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1174689574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAGNESH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-339-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379739200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.