Active NPI
Archanaben C Patel, PA-C
- Medical Physician Assistant
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9109257
- Practice address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - Phone
- (352) 536-8840
- Fax
- (352) 536-8841
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9109257 | FL | Primary |
Addresses
Primary practice location
1900 Don Wickham Dr
Clermont, FL 34711-1979
Mailing address
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016876400 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160413000628 | FL | Practitioner - Physician Assistant | 7719285493 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Don Wickham Dr
Clermont, FL 34711-1979
1920 Don Wickham Dr
Clermont, FL 34711-1918
Phone (407) 351-5384
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
587 E State Road 434
Longwood, FL 32750
Phone (407) 896-1100
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- apatel30972@orlandohealth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1386017994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ARCHANABEN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9109257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016876400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.