Individual provider Active NPI

Prakrut Patel, MD

  • Interventional Cardiology Physician
  • Saint Cloud, FL
National Provider Identifier
1245593987
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME136480 Issued in FL
Practice address
1330 Budinger Ave Ste 101
Saint Cloud, FL 34769-4123
Phone
(321) 841-6444
Fax
(407) 891-2941
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME136480 FL Primary

Addresses

Primary practice location

1330 Budinger Ave Ste 101
Saint Cloud, FL 34769-4123

Mailing address

1330 Budinger Ave Ste 101
Saint Cloud, FL 34769-4123
Phone (321) 841-6444

Other identifiers 1

IdentifierTypeStateIssuer
103581400MedicaidFL

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
I20190717001119 FL Practitioner - Cardiovascular Disease (Cardiology) 6507102423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111

Hospital & facility affiliations

  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Apr 18, 2024 Accepting new patients
Nchmd Inc CurrentSince Apr 18, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

511 Medical Plaza Dr
Ste 101
Leesburg, FL 34748

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

399 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 624-4200

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

1330 Budinger Ave
Ste 101
Saint Cloud, FL 34769
Phone (407) 891-2940

1560 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 750-5000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1245593987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 101",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "321-841-6444",
            "fax_number": "407-891-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 101",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "321-841-6444",
            "fax_number": "407-891-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAKRUT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME136480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103581400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.