Individual provider Active NPI

Anilkumar R Patel, MD

  • Pediatrics Physician
  • Brandon, FL
National Provider Identifier
1295848554
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME59296 Issued in FL
Practice address
301 N Parsons Ave Ste a
Brandon, FL 33510-4517
Phone
(813) 655-5807
Fax
(813) 655-9817
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME59296 FL Primary

Addresses

Primary practice location

301 N Parsons Ave Ste a
Brandon, FL 33510-4517

Mailing address

8000 SW 117TH Ave Ste 205
Miami, FL 33183-4809
Phone (305) 273-9100

Other practice location 1

7747 W Hillsborough Ave
Tampa, FL 33615-4715
Phone (305) 273-9100

Other practice location 2

714 W Dr Martin Luther King Jr Blvd Ste B
Tampa, FL 33603-3104
Phone (305) 273-9100

Other practice location 3

1111 7th Ave N Ste 103
St Petersburg, FL 33705-1348
Phone (305) 273-9100

Other identifiers 1

IdentifierTypeStateIssuer
371367900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME59296FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Kidz Pediatrics LLC Pediatrics CurrentSince Jul 28, 2024 Accepting new patients
Kingsway Medical Center Inc Pediatrics Past Accepting new patients
Cool Kidz Pediatrics LLC Pediatrics Past Accepting new patients

Locations

301 N Parsons Ave
Ste A
Brandon, FL 33510
Phone (813) 655-5807

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1295848554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 SW 117TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834809",
            "telephone_number": "305-273-9100",
            "fax_number": "305-273-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PARSONS AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104517",
            "telephone_number": "813-655-5807",
            "fax_number": "813-655-9817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7747 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154715",
            "country_code": "US",
            "telephone_number": "305-273-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 W Dr Martin Luther King Jr Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336033104",
            "country_code": "US",
            "telephone_number": "305-273-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 7th Ave N Ste 103",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051348",
            "country_code": "US",
            "telephone_number": "305-273-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANILKUMAR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-07-22",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371367900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.