Individual provider Active NPI

Priyanka Patel

  • Gastroenterology Physician
  • Orange City, FL
National Provider Identifier
1346029550
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
APRN11028355 Issued in FL
Practice address
2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone
(386) 668-2221
NPI assigned
Sep 26, 2023
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11028355 FL
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X APRN11028355 FL Primary

Addresses

Primary practice location

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427

Mailing address

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone (386) 668-2221

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231007000166 FL Practitioner - Nurse Practitioner 6608221882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro MD Florida, LLCGroup PAC ID 2264432558, 34 clinicians

Practice addresses (Care Compare)

2884 Wellness Ave
100 Gastroenterology of Greater Orlando
Orange City, FL 32763-8427
Phone (386) 668-2221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11028355FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro MD Florida, LLC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Gastroenterology Associates of Southwest Florida LLC Single Specialty CurrentSince Jan 5, 2026 Accepting new patients
Associates in Digestive Health LLC Single Specialty CurrentSince Jan 5, 2026 Accepting new patients

Locations

1435 Dunn Ave
Ste 101
Daytona Beach, FL 32114
Phone (386) 274-7651

929 N Spring Garden Ave
Ste 150
Deland, FL 32720
Phone (386) 339-2692

4790 Barkley Cir
Ste A
Fort Myers, FL 33907
Phone (239) 275-8882

2884 Wellness Ave
Ste 100
Orange City, FL 32763
Phone (386) 668-2221

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: priyanka.patel@gog.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJIBA

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.

Hospital & facility affiliations 4

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1346029550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028355",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "APRN11028355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.