Individual provider Active NPI

Jayant M Patel, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1356360960
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME44556 Issued in FL
Practice address
3505 E Hillsborough Ave
Ste 102
Tampa, FL 33610-4547
Phone
(813) 415-0100
Fax
(813) 415-0200
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME44556 FL Primary

Addresses

Primary practice location

3505 E Hillsborough Ave
Ste 102
Tampa, FL 33610-4547

Mailing address

3505 E Hillsborough Ave
Ste 102
Tampa, FL 33610-4547
Phone (813) 415-0100

Other identifiers 1

IdentifierTypeStateIssuer
069397900MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Home Health Care Inc PastSince Jun 27, 2011 Accepting new patients
Sonish Health Solutions Inc. PastSince Dec 13, 2011 Accepting new patients

Organizations & group practices 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1356360960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E HILLSBOROUGH AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104547",
            "telephone_number": "813-415-0100",
            "fax_number": "813-415-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 E HILLSBOROUGH AVE",
            "address_2": "STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104547",
            "telephone_number": "813-415-0100",
            "fax_number": "813-415-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYANT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069397900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.