Individual provider Active NPI

Chandni Patel

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1376415950
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2955 Pineda Plaza Way Ste 107
Melbourne, FL 32940-7306
Phone
(321) 850-2850
Fax
(321) 850-2851
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

2955 Pineda Plaza Way Ste 107
Melbourne, FL 32940-7306

Mailing address

PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 253-2900

Other practice location 1

1395 N Courtenay Pkwy Ste 203
Merritt Island, FL 32953-4475
Phone (321) 850-2850

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
I20251129000096 FL Practitioner - Physician Assistant 0345733234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

2955 Pineda Plaza Way
Suite 107
Melbourne, FL 32940-7306
Phone (321) 850-2850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Brevard LLC CurrentSince Dec 10, 2025 Accepting new patients

Locations

2955 Pineda Plaza Way
Ste 107
Melbourne, FL 32940
Phone (321) 452-1327

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

1395 N Courtenay Pkwy
Ste 203
Merritt Island, FL 32953
Phone (321) 459-1003

Organizations & group practices 1

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 5

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": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1376415950",
    "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": "321-253-2900",
            "fax_number": "321-435-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PINEDA PLAZA WAY STE 107",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407306",
            "telephone_number": "321-850-2850",
            "fax_number": "321-850-2851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 N Courtenay Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534475",
            "country_code": "US",
            "telephone_number": "321-850-2850",
            "fax_number": "321-850-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.