Individual provider Active NPI

Shreya N Patel, M.D.

  • Allergy & Immunology Physician
  • Orlando, FL
National Provider Identifier
1386078814
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME128383 Issued in FL
Practice address
5385 Conroy Rd Ste 104
Orlando, FL 32811-3719
Phone
(407) 777-8794
Fax
(689) 208-1222
NPI assigned
Sep 3, 2013
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME128383 FL Primary

Addresses

Primary practice location

5385 Conroy Rd Ste 104
Orlando, FL 32811-3719

Mailing address

5385 Conroy Rd
Suite 100 &104
Orlando, FL 32811
Phone (407) 777-8794

Other identifiers 1

IdentifierTypeStateIssuer
018125500MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014001050 FL Practitioner - Allergy/Immunology 2567750177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5385 Conroy Rd
Suite And104
Orlando, FL 32811-3719
Phone (407) 777-8794

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Group Inc. Allergy & Immunology CurrentSince Jul 15, 2018 Accepting new patients
Enlighten Psychiatry LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

5385 Conroy Rd
Ste 100
Orlando, FL 32811
Phone (407) 777-8794

5385 Conroy Rd
Ste 100104
Orlando, FL 32811

5385 Conroy Rd
Ste 104
Orlando, FL 32811
Phone (407) 777-8794

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJCBD/Endpoint/JCJCBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1386078814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 CONROY RD",
            "address_2": "SUITE 100 &104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-777-8794",
            "fax_number": "689-208-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 CONROY RD STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113719",
            "telephone_number": "407-777-8794",
            "fax_number": "689-208-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME128383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018125500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.