Active NPI
Premalkumar M Patel, MD
- Infectious Disease Physician
- Miami Beach, FL
National Provider Identifier
1386259992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME167706
- Practice address
- 4300 Alton Rd
Miami Beach, FL 33140-2948 - Phone
- (305) 674-2273
- NPI assigned
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN31945 | FL | |
| Infectious Disease Physician | 207RI0200X | ME167706 | FL | Primary |
Addresses
Primary practice location
4300 Alton Rd
Miami Beach, FL 33140-2948
Mailing address
1797 NW 4TH CT
Pompano Beach, FL 33069-2801
Phone (201) 301-5320
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | www.msmc.com | Direct | |
| SOAP URL | www.msmc.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2301 N University Dr
Pembroke Pines, FL 33024-3617
Phone (754) 275-5527
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN31945 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Consultants Inc | Infectious Disease | Current | Accepting new patients |
| Sunshine Infectious Disease & Tropical Medicine Center LLC | Infectious Disease | Current | Accepting new patients |
Locations
2300 S Congress Ave
Ste 100
Boynton Beach, FL 33426
Phone (561) 735-4829
2301 N University Dr
Ste 207
Pembroke Pines, FL 33024
Phone (754) 275-5527
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.
-
- Infectious Disease Physician
- Pembroke Pines, FL
- NPI 1881440238
-
- Infectious Disease Physician
- Boynton Beach, FL
- NPI 1134217987
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Broward Health Coral Springs
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
-
dba Memorial Hospital Pembroke
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
-
dba Memorial Hospital West
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
dba Memorial Regional Hospital
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1386259992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 NW 4TH CT",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330692801",
"telephone_number": "201-301-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 ALTON RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402948",
"telephone_number": "305-674-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PREMALKUMAR",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN31945",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME167706",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.msmc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4300 Alton Rd",
"city": "Miami Beach",
"state": "FL",
"country_code": "US",
"postal_code": "331402948",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.msmc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4300 Alton Rd",
"city": "Miami Beach",
"state": "FL",
"country_code": "US",
"postal_code": "331402948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.