NPIMap

Individual provider Active NPI

Rajeshri P. Patel, MD

  • Pulmonary Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1366503344
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME152399 Issued in FL
Practice address
3014 Tamiami TRL
Port Charlotte, FL 33952-4358
Phone
(941) 625-7775
Fax
(941) 625-2226
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME152399 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 233667 NY
Pulmonary Disease Physician 207RP1001X 233667 NY

Addresses

Primary practice location

3014 Tamiami TRL
Port Charlotte, FL 33952-4358

Mailing address

3014 Tamiami TRL
Port Charlotte, FL 33952-4358
Phone (941) 625-7775

Other names 1

  • Rajeshri P Patel Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAJESHRI.PATEL@hca5.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109001275 FL Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8426015645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3014 Tamiami TRL
Port Charlotte, FL 33952-4358
Phone (941) 625-7775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152399FLMDPulmonary Disease Physician
233667NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pulmonary Medicine CurrentSince Jul 1, 2023 Accepting new patients
South Shore Pulmonary,Critical Care & Sleep Medicine,PLLC Pulmonary Disease CurrentSince Oct 5, 2004 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 28, 2013 Accepting new patients
Good Samaritan Hospital Medical Critical Care Medicine CurrentSince Jan 1, 2013 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Apr 29, 2013 Accepting new patients

Locations

3014 Tamiami Trl
Pt Charlotte, FL 33952
Phone (941) 625-7775

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

430 E Bay Dr
Long Beach, NY 11561
Phone (516) 561-7001

300 Community Dr
Manhasset, NY 11030

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • Direct secure messaging: rajeshri.patel@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIFABA/Endpoint/HIFABA

Organizations & group practices 7

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 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1366503344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339524358",
            "telephone_number": "941-625-7775",
            "fax_number": "941-625-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339524358",
            "telephone_number": "941-625-7775",
            "fax_number": "941-625-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJESHRI",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME152399",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "233667",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "233667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAJESHRI.PATEL@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "430 E Bay Dr",
            "city": "Long Beach",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115612351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAJESHRI",
            "last_name": "PATEL",
            "middle_name": "P",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.