Individual provider Active NPI

Girish D. Patel, MD

  • Internal Medicine Physician
  • North Port, FL
National Provider Identifier
1447314190
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME95735 Issued in FL
Practice address
2500 Bobcat Village Center Rd,
Suite E
North Port, FL 34288
Phone
(941) 429-4744
Fax
(941) 429-4754
NPI assigned
Dec 20, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME95735 FL Primary

Addresses

Primary practice location

2500 Bobcat Village Center Rd,
Suite E
North Port, FL 34288

Mailing address

2500 Bobcat Village Center Rd,
Suite E
North Port, FL 34288
Phone (941) 429-4744

Other identifiers 2

IdentifierTypeStateIssuer
279222200MedicaidFL
ME95735OtherFLME NUMBER

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
I20071107000047 FL Practitioner - Internal Medicine 1153418256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2500 Bobcat Village Ctr Rd
Unit E
North Port, FL 34288-8476
Phone (941) 429-4744

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4100

809 E Marion Ave
Punta Garda, FL 33950-3819
Phone (941) 639-3131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Port Primary Care Association PL Internal Medicine CurrentSince May 1, 2010 Accepting new patients

Locations

2500 Bobcat Village Center Rd
Unit E
North Port, FL 34288
Phone (941) 429-4744

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

Interoperability endpoints

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

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 3

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1447314190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BOBCAT VILLAGE CENTER RD,",
            "address_2": "SUITE E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34288",
            "telephone_number": "941-429-4744",
            "fax_number": "941-429-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BOBCAT VILLAGE CENTER RD,",
            "address_2": "SUITE E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34288",
            "telephone_number": "941-429-4744",
            "fax_number": "941-429-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GIRISH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279222200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME NUMBER",
            "identifier": "ME95735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.