Vishal Chandubhai Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME121788 Issued in FL

Practice address

8833 Perimeter Park Blvd
Ste 503
Jacksonville, FL 32216-1110

Phone

(904) 687-1055

Fax

(904) 687-2141

NPI assigned

May 24, 2007

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reliance Medical Associates of Jax LLC

  dba Reliance Primary & Urgent Care

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1023522315
  Medicare reassignment NPD Authorized official
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284
  Medicare reassignment NPD
• Andrea Fritschle MD PA

  • Child & Adolescent Psychiatry Physician
  • Orange Park, FL
  • NPI 1558735704
  NPD
• Floridian Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Crestview, FL
  • NPI 1992150007
  NPD (past)
• Southland Hospitalist at Ozark, PL

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1750608949
  NPD (past)

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

• Southern Baptist Hospital of Florida Inc

  dba Baptist Medical Center

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1255542262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 WEST",
            "address_2": "STE 108, PMB 257",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594060",
            "telephone_number": "904-687-1055",
            "fax_number": "904-687-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD",
            "address_2": "STE 503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161110",
            "telephone_number": "904-687-1055",
            "fax_number": "904-687-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "CHANDUBHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "29685",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108669600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12314503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velee Manish Patel, DNP
• Veni Patel, QASP
• Vipul R Patel, DC
• Viral M Patel, D.M.D
• Vishal Patel, MD, PHD
• Gerard Paterno, DPT
• Kelly Paterno
• Annemarie Lyn Paternoster
• Blake Paterson, MD
• Path Medical, LLC (Path Medical - Northside)

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.

Verify at the official NPI Registry.