Individual provider Active NPI

Gunj Patel, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1194522847
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120075 Issued in FL
Practice address
2571 W Eau Gallie Blvd Ste 2
Melbourne, FL 32935-8302
Phone
(772) 217-5362
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120075 FL Primary

Addresses

Primary practice location

2571 W Eau Gallie Blvd Ste 2
Melbourne, FL 32935-8302

Mailing address

5812 Westhaven CV
Bradenton, FL 34203-5587
Phone (941) 448-5159

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
I20251120002551 FL Practitioner - Physician Assistant 9739671454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divani Dermatology LLCGroup PAC ID 2961733803, 13 clinicians

Practice addresses (Care Compare)

8745 N US Hwy 1
Sebastian, FL 32958-7524
Phone (772) 217-5362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Divani Dermatology LLC CurrentSince Oct 13, 2025 Accepting new patients

Locations

311 Barefoot Blvd
Ste 1
Barefoot Bay, FL 32976
Phone (772) 217-5362

930 S Harbor City Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 345-7579

2571 W Eau Gallie Blvd
Ste 2
Melbourne, FL 32935
Phone (321) 777-9091

8745 N US Highway 1
Sebastian, FL 32958
Phone (772) 217-5362

4800 20th St
Vero Beach, FL 32966
Phone (772) 217-5362

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1194522847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 WESTHAVEN CV",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035587",
            "telephone_number": "941-448-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 W EAU GALLIE BLVD STE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358302",
            "telephone_number": "772-217-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GUNJ",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.