Individual provider Active NPI

Bhasker J. Patel, MD

  • Cardiovascular Disease Physician
  • Lutz, FL
National Provider Identifier
1396717724
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME55621 Issued in FL
Practice address
17863 Hunting Bow Cir Ste 101
Lutz, FL 33558-5395
Phone
(727) 376-6699
Fax
(727) 372-5522
NPI assigned
Feb 1, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME55621 FL Primary

Addresses

Primary practice location

17863 Hunting Bow Cir Ste 101
Lutz, FL 33558-5395

Mailing address

PO Box 24477
Tampa, FL 33623-4477
Phone (727) 823-2188

Other practice location 1

12110 N 56th St
Temple Terrace, FL 33617-1658
Phone (727) 376-6699

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
I20120306000413 FL Practitioner - Cardiovascular Disease (Cardiology) 4486813763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17863 Hunting Bow Cir
Suite 101
Lutz, FL 33558-5395
Phone (727) 376-6699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Oct 9, 2017 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince Mar 31, 2018 Accepting new patients
Cardiovascular Clinic, Inc. Cardiovascular Disease CurrentSince Dec 27, 2011 Accepting new patients
Florida Pain Management Physicians PA Past Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

17863 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (727) 376-6699

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

12110 N 56th St
Temple Terrace, FL 33617
Phone (727) 376-6699

2154 Duck Slough Blvd
Ste 102
Trinity, FL 34655
Phone (727) 376-6699

Networks

  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1396717724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24477",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336234477",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17863 HUNTING BOW CIR STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585395",
            "telephone_number": "727-376-6699",
            "fax_number": "727-372-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 N 56th St",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336171658",
            "country_code": "US",
            "telephone_number": "727-376-6699",
            "fax_number": "727-372-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHASKER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME55621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.