Organization Active NPI

Zakir Patel MD PA

  • Clinic/Center
  • Panama City, FL
National Provider Identifier
1457556995
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ZAKIR PATEL MD PA
Practice address
1937 Harrison Ave
Panama City, FL 32405-4543
Phone
(850) 769-6367
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Zakirhusain I Patel, M.D.NPI 1437114634
Title
Internist
Phone
(850) 769-6367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1937 Harrison Ave
Panama City, FL 32405-4543

Mailing address

P O Box 2049
Lynn Haven, FL 32444
Phone (850) 769-6367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000437 FL Part B Supplier - Clinic/Group Practice 1951498245 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City, 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
10D1078675Zakir Patel MD PA1937 Harrison Avenue, Panama City, FL 32405Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1457556995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2049",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444",
            "telephone_number": "850-769-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054543",
            "telephone_number": "850-769-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAKIR PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ZAKIRHUSAIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "850-769-6367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2007; 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.