Individual provider Active NPI

Jaysukhlal Veljibhai Panara, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1508934407
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061624 Issued in FL
Practice address
2299 9TH Ave N
Ste 1F
St Petersburg, FL 33713-6800
Phone
(727) 323-9000
Fax
(727) 323-9100
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 ME0061624 FL Primary

Addresses

Primary practice location

2299 9TH Ave N
Ste 1F
St Petersburg, FL 33713-6800

Mailing address

2299 9TH Ave North
Ste 1F
St Petersburg, FL 33713-6851
Phone (727) 323-9000

Other identifiers 1

IdentifierTypeStateIssuer
372032200MedicaidFL

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
I20101006000898 FL Practitioner - Internal Medicine 7810975158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Primary Care IncGroup PAC ID 4284612524, 2 clinicians

Practice addresses (Care Compare)

2299 9TH Ave N
Suite 1F
St Petersburg, FL 33713-6851
Phone (727) 323-9000

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061624FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Primary Care Inc Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

2191 9th Ave N
Ste 110
St Petersburg, FL 33713
Phone (727) 322-1600

2299 9th Ave N
Ste 1F
St Petersburg, FL 33713
Phone (727) 323-9000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jpanara188735@orlandohealth.medalliesdirect.net
  • Direct secure messaging: jaysukhlal.panara@ppcinc.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1508934407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE NORTH",
            "address_2": "STE 1F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136851",
            "telephone_number": "727-323-9000",
            "fax_number": "727-323-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N",
            "address_2": "STE 1F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136800",
            "telephone_number": "727-323-9000",
            "fax_number": "727-323-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARA",
        "first_name": "JAYSUKHLAL",
        "middle_name": "VELJIBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372032200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.