Individual provider Active NPI

Shreya Patel

  • Neuroradiology Physician
  • Jacksonville, FL
National Provider Identifier
1275023863
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
165517 Issued in FL
Practice address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone
(904) 383-1024
NPI assigned
May 18, 2018
Last updated
Jan 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R76843 AZ
Neuroradiology Physician 2085N0700X 165517 FL Primary
Diagnostic Radiology Physician 2085R0202X 165517 FL

Addresses

Primary practice location

655 W 8TH St
Jacksonville, FL 32209-6511

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008

Other practice location 1

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Other practice location 2

790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone (770) 405-2976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240815002440 GA Practitioner - Diagnostic Radiology 8224366802 Reassigns benefits to 6 organizations
I20250114001424 FL Practitioner - Diagnostic Radiology 8224366802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

302 Cardinal St
Pooler, GA 31322-1707
Phone (480) 306-6949

4555 Emerson Expressway
Suite 120
Jacksonville, FL 32207-4958
Phone (904) 383-1036

4555 Emerson St
Jacksonville, FL 32207-4958

5191 1St Coast Tech Pkwy
Jacksonville, FL 32224-0609
Phone (904) 427-6991

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R76843AZMDInternal Medicine Physician
165517FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Current Accepting new patients
Pro Radiology, LLC CurrentSince Aug 19, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Neuroradiology CurrentSince Jan 6, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
RLC LLC Neuroradiology CurrentSince Apr 30, 2026 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Aug 19, 2024 Accepting new patients
Synergy Radiology, LLC CurrentSince Aug 19, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Radiology LTD., LLC Diagnostic Radiology CurrentSince Sep 1, 2026 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Aug 19, 2024 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince Aug 19, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

Interoperability endpoints

  • Direct secure messaging: spatel753139@direct.shands.ufl.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1275023863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-383-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-327-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Church St NE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608957",
            "country_code": "US",
            "telephone_number": "770-405-2976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R76843",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "165517",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "165517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.