Active NPI
Jayant M Patel, M.D.
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1356360960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME44556
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069397900 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viva Home Health Care Inc | Past | Accepting new patients | |
| Sonish Health Solutions Inc. | Past | 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.
-
- Customized Equipment (DME)
- Tampa, FL
- NPI 1528355294
-
- Home Health Agency
- Tampa, FL
- NPI 1225330848
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.