Active NPI
Shalini R. Patel, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1396900486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME110956
- Practice address
- 51 Pennsylvania St
Orlando, FL 32806-2937 - Phone
- (321) 843-3220
- Fax
- (321) 843-3210
- NPI assigned
- Jul 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2080A000000X | CT | |
| Pediatrics Physician | 208000000X | ME110956 | FL | Primary |
Addresses
Primary practice location
51 Pennsylvania St
Orlando, FL 32806-2937
Mailing address
51 Pennsylvania St
Orlando, FL 32806-2937
Phone (321) 843-3220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004121100 | Medicaid | FL | |
| 14H85 | Other | BLUE CROSS BLUE SHIELD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2080A000000X | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Phoenix Pediatrics of Broward LLC | Pediatrics | Current | Accepting new patients |
| Phoenix Pediatrics of Broward LLC | Pediatrics | Current | Accepting new patients |
Locations
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157
Interoperability endpoints
- spatel342991@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Fort Lauderdale, FL
- NPI 1619970498
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Pediatrics Physician
- Coral Springs, FL
- NPI 1508815655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1396900486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 PENNSYLVANIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062937",
"telephone_number": "321-843-3220",
"fax_number": "321-843-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 PENNSYLVANIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062937",
"telephone_number": "321-843-3220",
"fax_number": "321-843-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHALINI",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "2080A000000X",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME110956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004121100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14H85",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.