Organization Active NPI

Elitecaremds Tampa LLC

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1225878432
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELITECAREMDS TAMPA LLC
Practice address
4504 W Dale Ave
Tampa, FL 33609-3709
Phone
(732) 713-4479
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Dipti Patel, MDNPI 1891915070
Title
Physician
Phone
(732) 713-4479

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

4504 W Dale Ave
Tampa, FL 33609-3709

Mailing address

4504 W Dale Ave
Tampa, FL 33609-3709
Phone (732) 713-4479

Other practice location 1

16001 Lakeshore Villa Dr
Tampa, FL 33613-1336
Phone (813) 560-0463

Other practice location 2

1203 E 22nd Ave
Tampa, FL 33605-1719
Phone (813) 229-6901

Other names 1

  • EliteCareMDs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029003973 FL Part B Supplier - Clinic/Group Practice 5395278386 Receives reassigned benefits from 4 practitioners

National Provider Directory

National Provider Directory

Locations

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

4532 W Kennedy Blvd
Tampa, FL 33609
Phone (731) 624-9595

Practitioners & affiliated clinicians

Practitioners 4

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": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225878432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 W DALE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093709",
            "telephone_number": "732-713-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 W DALE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093709",
            "telephone_number": "732-713-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16001 Lakeshore Villa Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336131336",
            "country_code": "US",
            "telephone_number": "813-560-0463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 E 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336051719",
            "country_code": "US",
            "telephone_number": "813-229-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITECAREMDS TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-713-4479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EliteCareMDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.