Active NPI
Pallavi K Patel, MD
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1477663003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0039612
- Practice address
- 7108 N Nebraska Ave
Tampa, FL 33604-4915 - Phone
- (813) 239-3262
- Fax
- (813) 237-6941
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0039612 | FL | |
| Pediatrics Physician | 208000000X | ME0039612 | FL | Primary |
Addresses
Primary practice location
7108 N Nebraska Ave
Tampa, FL 33604-4915
Mailing address
PO Box 152557
Tampa, FL 33684-2557
Phone (813) 239-3262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052602906 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0039612 | FL | MD | Family Medicine Physician |
| 39612 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Primary Care Associates | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
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": "1340064000000",
"number": "1477663003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152557",
"city": "TAMPA",
"state": "FL",
"postal_code": "336842557",
"telephone_number": "813-239-3262",
"fax_number": "813-237-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7108 N NEBRASKA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336044915",
"telephone_number": "813-239-3262",
"fax_number": "813-237-6941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PALLAVI",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0039612",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0039612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052602906",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.