Individual provider Active NPI

Nilamben Patel, DO

  • Allergy & Immunology Physician
  • North Port, FL
National Provider Identifier
1174941645
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
OS16686 Issued in FL
Practice address
2565 N Toledo Blade Blvd
North Port, FL 34289-9306
Phone
(941) 257-3119
Fax
(941) 485-6408
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 270660 MA
Allergy & Immunology Physician 207K00000X OS16686 FL Primary

Addresses

Primary practice location

2565 N Toledo Blade Blvd
North Port, FL 34289-9306

Mailing address

2565 N Toledo Blade Blvd
North Port, FL 34289-9306
Phone (941) 257-3119

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
I20200701001498 FL Practitioner - Allergy/Immunology 6103114715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2565 N Toledo Blade Blvd
North Port, FL 34289-9306
Phone (941) 257-3119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270660MAMDRegistered Nurse
OS16686FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Allergy and Asthma PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

2565 N Toledo Blade Blvd
North Port, FL 34289
Phone (941) 257-3119

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nilamben.patel.1@24778.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1174941645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 N TOLEDO BLADE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899306",
            "telephone_number": "941-257-3119",
            "fax_number": "941-485-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 N TOLEDO BLADE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899306",
            "telephone_number": "941-257-3119",
            "fax_number": "941-485-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILAMBEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "270660",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "OS16686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.