Active NPI
Jayaben Patel
- Hematology & Oncology Physician
- Tampa, FL
National Provider Identifier
1194343210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 765475
- Practice address
- 11818 Shire Wycliffe CT
Tampa, FL 33626-3329 - Phone
- (727) 964-8636
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 765475 | ZZ | Primary |
Addresses
Primary practice location
11818 Shire Wycliffe CT
Tampa, FL 33626-3329
Mailing address
11818 Shire Wycliffe CT
Tampa, FL 33626-3329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 765475 | ZZ | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1194343210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11818 SHIRE WYCLIFFE CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11818 SHIRE WYCLIFFE CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263329",
"telephone_number": "727-964-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAYABEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ZZ",
"license": "765475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.