NPIMap

Individual provider Active NPI

Gaurang B. Patel, M.D

  • Internal Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1366739773
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME124693 Issued in FL
Practice address
1051 Port Malabar Blvd NE Ste 4
Palm Bay, FL 32905-5153
Phone
(321) 844-7001
Fax
(321) 622-6544
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036132729 IL
Hospitalist Physician 208M00000X ME124693 FL
Hospitalist Physician 208M00000X 036132729 IL
Internal Medicine Physician 207R00000X ME124693 FL Primary

Addresses

Primary practice location

1051 Port Malabar Blvd NE Ste 4
Palm Bay, FL 32905-5153

Mailing address

PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 844-7001

Other identifiers 4

IdentifierTypeStateIssuer
P01664701OtherHF FL RR MEDICARE
II826YOtherFLMEDICARE PTAN
016398800MedicaidFL
P01900099OtherFLRRMEDICARE PTAN

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
I20151106002324 FL Practitioner - Internal MedicinePractitioner - Hospitalist 9133353238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

1051 Port Malabar Blvd NE
Suite 4
Palm Bay, FL 32905-5153
Phone (321) 844-7001

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Pinnacle Home Care Home health agency, Orlando, FL, CCN 103127
  • Centerwell Home Health Home health agency, Palm Bay, FL, CCN 107383
  • Firstat Nursing Services Home health agency, Winter Park, FL, CCN 108039
  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Amedisys Hospice of Brevard Hospice, Melbourne, FL, CCN 101570
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • St. Francis Hospice Hospice, Titusville, FL, CCN 101534
  • Mederi Caretenders Hospice Hospice, Viera, FL, CCN 101514
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Viera del Mar Health and Rehabilitation Center Nursing home, Viera, FL, CCN 106123
  • Indian River Center Nursing home, West Melbourne, FL, CCN 105673
  • Life Care Center of Palm Bay Nursing home, Palm Bay, FL, CCN 106060
  • Melbourne Terrace Rehabilitation Center Nursing home, Melbourne, FL, CCN 105635
  • Anchor Care & Rehabilitation Center Nursing home, Palm Bay, FL, CCN 105464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124693FLMDInternal Medicine Physician
036132729ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G Patel MD PA Internal Medicine CurrentSince Jul 4, 2017 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1350 Hickory St
Ofc
Melbourne, FL 32901

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

1051 Port Malabar Blvd NE
Ste 4
Palm Bay, FL 32905
Phone (321) 725-3438

Interoperability endpoints

  • Direct secure messaging: gaurangpatel@mab.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indian River CenterWest Melbourne, FL, CCN 105673 Skilled nursing facility Adp of the SNF Apr 30, 2025
Melbourne Healthcare and Rehabilitation CenterMelbourne, FL, CCN 105207 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2019
Dec 1, 2019
Viera del Mar Health and Rehabilitation CenterViera, FL, CCN 106123 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2022
Dec 18, 2025
Amedisys Hospice of BrevardMelbourne, FL, CCN 101570 Hospice Contracted Managing Employee May 21, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1366739773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361095",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361095",
            "telephone_number": "321-844-7001",
            "fax_number": "321-622-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD NE STE 4",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055153",
            "telephone_number": "321-844-7001",
            "fax_number": "321-622-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GAURANG",
        "middle_name": "B.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036132729",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME124693",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036132729",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF FL RR MEDICARE",
            "identifier": "P01664701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "II826Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016398800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PTAN",
            "identifier": "P01900099",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.