NPIMap

Individual provider Active NPI

Keyur Patel, D.O.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • North Port, FL
National Provider Identifier
1326340555
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
OS015400 Issued in PA
Practice address
2565 N Toledo Blade Blvd Unit 3
North Port, FL 34289-9306
Phone
(215) 307-2355
NPI assigned
Nov 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X OS015400 PA Primary

Addresses

Primary practice location

2565 N Toledo Blade Blvd Unit 3
North Port, FL 34289-9306

Mailing address

2565 N Toledo Blade Blvd Unit 3
North Port, FL 34289-9306
Phone (215) 307-2355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111230000533 PA Practitioner - Emergency Medicine 7416123153 Reassigns benefits to 1 organization
I20211022000651 FL Practitioner - Emergency Medicine 7416123153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2565 N Toledo Blade Blvd
Suite 3
North Port, FL 34289-9306
Phone (412) 212-0123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1173
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Wound and Hyperbaric Center Professional Limited Liabil Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Serenagroup Professional Services, P.C. Single Specialty CurrentSince Oct 15, 2021 Accepting new patients
Penn North Centers for Advanced Wound Care PC Single Specialty Past Accepting new patients
Emergency Medicine Associates PC Single Specialty Past Accepting new patients
Serenagroup Professional Services, PLLC. Single Specialty PastSince Oct 15, 2021 Accepting new patients

Locations

2565 N Toledo Blade Blvd
Unit 3
North Port, FL 34289
Phone (412) 212-0123

2565 N Toledo Blade Blvd
North Port, FL 34289
Phone (941) 257-3119

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2120 Likens Ln
Farrell, PA 16121
Phone (724) 588-4370

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

4318 Northern Pike
Ste 201
Monroeville, PA 15146
Phone (412) 212-0123

4318 Northern Pike
Ste 101
Monroeville, PA 15146
Phone (412) 212-0123

Organizations & group practices 5

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 11

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": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1326340555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 N TOLEDO BLADE BLVD UNIT 3",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899306",
            "telephone_number": "215-307-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 N TOLEDO BLADE BLVD UNIT 3",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899306",
            "telephone_number": "215-307-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KEYUR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "OS015400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.