Organization Active NPI

Sanjay a Patel MD PA

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1407170632
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69007 Issued in FL
Legal business name
SANJAY A PATEL MD PA
Practice address
419 SW 15TH St
Ocala, FL 34471-0609
Phone
(352) 732-6400
Fax
(352) 671-5283
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mrs. Kashmira Sanjay Patel
Title
Office Manager
Phone
(352) 732-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME69007 FL Primary

Addresses

Primary practice location

419 SW 15TH St
Ocala, FL 34471-0609

Mailing address

419 SW 15TH St
Ocala, FL 34471-0609
Phone (352) 732-6400

Other identifiers 7

IdentifierTypeStateIssuer
272508800MedicaidFL
27591OtherFLMEDICARE PROVIDER NUMBER
G11717OtherFLUPIN
69007OtherFLME LICENSE
10D0974350OtherCLIA ID
1003866823OtherFLNPI ENTITY TYPE ONE ID
110204280OtherFLRAILROAD MEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000053 FL Part B Supplier - Clinic/Group Practice 0840327268 Receives reassigned benefits from 1 practitioner
Practice locations: The Villages, FL; Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0974350Sanjay a Patel MD PA419 SW 15TH Street, Ocala, FL 34471Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

40 SW 12th St
Bldg C
Ocala, FL 34471

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/307566/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1407170632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SW 15TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710609",
            "telephone_number": "352-732-6400",
            "fax_number": "352-671-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SW 15TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710609",
            "telephone_number": "352-732-6400",
            "fax_number": "352-671-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY A PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KASHMIRA",
        "authorized_official_middle_name": "SANJAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-732-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272508800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "27591",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G11717",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "69007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "10D0974350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY TYPE ONE ID",
            "identifier": "1003866823",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "110204280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.