Individual provider Active NPI

Anjan Patel, M.D.

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1255645156
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME115522 Issued in FL
Practice address
13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806
Phone
(561) 499-6622
Fax
(561) 499-6795
NPI assigned
Aug 3, 2010
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME115522 FL Primary

Addresses

Primary practice location

13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806

Mailing address

13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806
Phone (561) 499-6622

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
I20130424000121 FL Practitioner - General Practice 3173769940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Advanced Medical and Derm Aesthetics, LLCGroup PAC ID 4385880798, 3 clinicians

Practice addresses (Care Compare)

13660 S Jog Rd
Suite 1B
Delray Beach, FL 33446-3806
Phone (561) 499-6622

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince May 19, 2019 Accepting new patients
Florida Advanced Medical and Derm Aesthetics LLC Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Florida Advanced Medical and Derm Aesthetics, LLC Family Medicine Current Accepting new patients

Locations

17940 S Military Trl
Ste 300
Boca Raton, FL 33496
Phone (561) 367-1623

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

13660 S Jog Rd
Ste 1B
Delray Beach, FL 33446
Phone (561) 499-6622

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBEGCD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1255645156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 S JOG RD STE 1B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622",
            "fax_number": "561-499-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 S JOG RD STE 1B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622",
            "fax_number": "561-499-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME115522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.