Individual provider Active NPI

Prashant R Patel, MD

  • Hematology & Oncology Physician
  • Stuart, FL
National Provider Identifier
1336135102
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0064712 Issued in FL
Practice address
501 SE Osceola St
Suite 301
Stuart, FL 34994-2301
Phone
(772) 223-5955
Fax
(772) 223-5954
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0064712 FL Primary

Addresses

Primary practice location

501 SE Osceola St
Suite 301
Stuart, FL 34994-2301

Mailing address

501 SE Osceola St
Suite 301
Stuart, FL 34994-2301
Phone (772) 223-5955

Other identifiers 3

IdentifierTypeStateIssuer
ME0064712OtherFLMEDICAL LICENSE
253700100MedicaidFL
44230OtherBCBS

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
I20100809001070 FL Practitioner - Hematology/Oncology 7315954575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Oncology Associates PAGroup PAC ID 4789691940, 10 clinicians

Practice addresses (Care Compare)

433 SE Ocean Blvd
Stuart, FL 34994-2573
Phone (772) 276-7242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as individual
Quality
68.29
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064712FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Oncology Associates, PA Hematology & Oncology CurrentSince Nov 1, 1999 Accepting new patients

Locations

1231 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (772) 464-8121

1780 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (772) 337-4600

451 SW Bethany Dr
Ste 100
Port St Lucie, FL 34986
Phone (772) 204-0795

11250 SW Village Pkwy
Port St Lucie, FL 34987
Phone (305) 649-8100

433 SE Ocean Blvd
Stuart, FL 34994
Phone (772) 223-4504

501 SE Osceola St
Ste 301
Stuart, FL 34994
Phone (772) 223-5955

448 SE Osceola St
Stuart, FL 34994
Phone (772) 221-3330

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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 5

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1336135102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST",
            "address_2": "SUITE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942301",
            "telephone_number": "772-223-5955",
            "fax_number": "772-223-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST",
            "address_2": "SUITE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942301",
            "telephone_number": "772-223-5955",
            "fax_number": "772-223-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRASHANT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0064712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0064712",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253700100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.