Individual provider Active NPI

Ashish C Patel, M.D.

  • Family Medicine Physician
  • Land O Lakes, FL
National Provider Identifier
1386958189
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME121747 Issued in FL
Practice address
20735 Sterlington Dr Ste 102
Land O Lakes, FL 34638-4390
Phone
(813) 563-0751
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09174700 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME121747 FL Primary

Addresses

Primary practice location

20735 Sterlington Dr Ste 102
Land O Lakes, FL 34638-4390

Mailing address

20735 Sterlington Dr Ste 102
Land O Lakes, FL 34638-4390
Phone (813) 563-0751

Other identifiers 1

IdentifierTypeStateIssuer
014081900MedicaidFL

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
I20141204001445 FL Practitioner - Family Practice 8426208869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09174700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare of Tampa Bay LLC CurrentSince Jul 17, 2017 Accepting new patients

Locations

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

14690 Spring Hill Dr
Ste 100
Spring Hill, FL 34609

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1386958189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20735 STERLINGTON DR STE 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384390",
            "telephone_number": "813-563-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20735 STERLINGTON DR STE 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384390",
            "telephone_number": "813-563-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHISH",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09174700",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014081900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.