Individual provider Active NPI

Anita R Patel, M.D

  • Adult Medicine Physician
  • Brandon, FL
National Provider Identifier
1437269750
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME102540 Issued in FL
Practice address
3427 Brook Crossing Drive
Brandon, FL 33511-8102
Phone
(813) 654-5331
Fax
(813) 654-5336
NPI assigned
Aug 30, 2006
Last updated
Feb 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME102540 FL Primary

Addresses

Primary practice location

3427 Brook Crossing Drive
Brandon, FL 33511-8102

Mailing address

3427 Brook Crossing Dr
Brandon, FL 33511-8181
Phone (813) 654-5331

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
I20090320000465 FL Practitioner - Family Practice 5991703597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3427 Brook Crossing Dr
Brandon, FL 33511-8181
Phone (813) 654-5331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102540FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Patel MD PA CurrentSince Sep 15, 2012 Accepting new patients

Locations

3427 Brook Crossing Dr
Brandon, FL 33511
Phone (813) 654-5331

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anita.patel@glacecentral.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1437269750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 BROOK CROSSING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118181",
            "telephone_number": "813-654-5331",
            "fax_number": "813-654-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 BROOK CROSSING DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118102",
            "telephone_number": "813-654-5331",
            "fax_number": "813-654-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANITA",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME102540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.