Active NPI
Nishita D Patel, MD
- Ophthalmology Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME113176
- Practice address
- 517 N Clyde Morris Blvd
Daytona Beach, FL 32114-2323 - Phone
- (386) 425-0393
- Fax
- (386) 253-3484
- NPI assigned
- Mar 1, 2010
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME113176 | FL | Primary |
Addresses
Primary practice location
517 N Clyde Morris Blvd
Daytona Beach, FL 32114-2323
Mailing address
517 N Clyde Morris Blvd
Daytona Beach, FL 32114-2323
Phone (386) 425-0393
Other practice location 1
1925 Mizell Ave
Ste 302
Winter Park, FL 32792-4106
Phone (407) 629-6646
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 322-4700
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Hospital & facility affiliations
- Halifax Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113176 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Donald M. Cardone, M.D., P.a. | Ophthalmology | Past | Accepting new patients |
Locations
517 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 255-3444
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
Interoperability endpoints
- nishita.patel.1@16462.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Ophthalmology Physician
- Daytona Beach, FL
- NPI 1154631307
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1194048488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142323",
"telephone_number": "386-425-0393",
"fax_number": "386-253-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142323",
"telephone_number": "386-425-0393",
"fax_number": "386-253-3484"
}
],
"practiceLocations": [
{
"address_1": "1925 Mizell Ave",
"address_2": "Ste 302",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327924106",
"country_code": "US",
"telephone_number": "407-629-6646",
"fax_number": "407-740-5089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NISHITA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME113176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.