NPIMap

Individual provider Active NPI

Pavankumar Patel, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Bay, FL
National Provider Identifier
1407004708
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME166782 Issued in FL
Practice address
5200 Babcock St NE Ste 106a
Palm Bay, FL 32905-4639
Phone
(321) 373-7700
Fax
(321) 256-5512
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD449832 PA
Internal Medicine Physician 207R00000X 01069508A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME166782 FL Primary
Internal Medicine Physician 207R00000X MD449832 PA

Addresses

Primary practice location

5200 Babcock St NE Ste 106a
Palm Bay, FL 32905-4639

Mailing address

PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 253-2900

Other identifiers 1

IdentifierTypeStateIssuer
102882048MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140804000703 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 7416135934 Reassigns benefits to 2 organizations
I20251023002504 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 7416135934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

3 Walnut St
Lemoyne, PA 17043-1168

3 Walnut Street
Lemoyne, PA 17043-1168
Phone (717) 988-0090

5200 Babcock St NE
Suite 106a
Palm Bay, FL 32905-4639
Phone (814) 410-5274

805 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 988-0020

810 Sir Thomas CT
Suite 101
Harrisburg, PA 17109-4839
Phone (717) 614-4420

815 Sir Thomas CT
Suite 200
Harrisburg, PA 17109-4839
Phone (717) 724-0720

820 Sir Thomas Court 2ND Floor
Pinnaclehealth Familycare Union Deposit
Harrisburg, PA 17109-4839
Phone (717) 657-3030

820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 652-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069508AINMDInternal Medicine Physician
ME166782FLMDEndocrinology, Diabetes & Metabolism Physician
MD449832PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2014 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Nov 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2014 Accepting new patients

Locations

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

5200 Babcock St NE
Ste 106A
Palm Bay, FL 32905
Phone (321) 373-7700

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

810 Sir Thomas Ct
#101
Harrisburg, PA 17109
Phone (717) 614-4420

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Interoperability endpoints

  • Direct secure messaging: ppatel299150@upmc.direct-ci.com
  • Direct secure messaging: pavankumarpatel@mab.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1407004708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361095",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361095",
            "telephone_number": "321-253-2900",
            "fax_number": "321-435-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 106A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054639",
            "telephone_number": "321-373-7700",
            "fax_number": "321-256-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAVANKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD449832",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069508A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME166782",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD449832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102882048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.