Active NPI
Samir Natwar Patel, M.D.
- Interventional Cardiology Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME106344
- Practice address
- 625 W Baldwin Rd Ste C
Panama City, FL 32405-3359 - Phone
- (850) 769-0329
- Fax
- (844) 212-7396
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ME106344 | FL | Primary |
Addresses
Primary practice location
625 W Baldwin Rd Ste C
Panama City, FL 32405-3359
Mailing address
625 W Baldwin Rd
Ste C
Panama City, FL 32405-3359
Phone (850) 769-0329
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002304700 | Medicaid | FL | |
| 9646138 | Other | MS | AETNA |
| P00607087 | Other | MS | RAILROAD |
| DQ106Z | Other | FL | MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Rush Medical College of Rush University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 W Baldwin Rd
Suite C
Panama City, FL 32405-3359
Phone (850) 769-0329
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 64.35
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 75.54
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 42 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Econfina Cardiology Group, PA | Current | Accepting new patients | |
| Foucher Emergency Physicians | Past | Accepting new patients | |
| Louisiana Em-1 Medical Services, PA | Past | Accepting new patients |
Locations
1936 Jenks Ave
Panama City, FL 32405
Phone (850) 763-5959
625 W Baldwin Rd
Ste D
Panama City, FL 32405
Phone (850) 820-7900
801 E 6th St
Ste 504
Panama City, FL 32401
Phone (904) 769-0329
625 W Baldwin Rd
Ste C
Panama City, FL 32405
Phone (850) 769-6612
801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018
17745 Ashley Dr
Panama City Beach, FL 32413
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.
-
- Cardiovascular Disease Physician
- Panama City, FL
- NPI 1609801257
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1043402076
-
- Nurse Practitioner
- New Orleans, LA
- NPI 1134311178
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1457333742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W BALDWIN RD",
"address_2": "STE C",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053359",
"telephone_number": "850-769-0329",
"fax_number": "844-563-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W BALDWIN RD STE C",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053359",
"telephone_number": "850-769-0329",
"fax_number": "844-212-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SAMIR",
"middle_name": "NATWAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME106344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002304700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9646138",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00607087",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "DQ106Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.
- 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.