NPIMap

Individual provider Active NPI

Girish Patel, MD PA

  • Specialist
  • Saint Petersburg, FL
National Provider Identifier
1508975343
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0068180 Issued in FL
Practice address
2112 16TH St N
Saint Petersburg, FL 33704-3924
Phone
(727) 821-7111
Fax
(727) 821-7115
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0068180 FL Primary

Addresses

Primary practice location

2112 16TH St N
Saint Petersburg, FL 33704-3924

Mailing address

2112 16TH St N
Saint Petersburg, FL 33704-3924
Phone (727) 821-7111

Other identifiers 1

IdentifierTypeStateIssuer
378469000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061103000359 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 8921071937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2112 16TH St N
St Petersburg, FL 33704-3924
Phone (727) 821-7111

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • Kindred Hospital-Bay Area-Tampa Long-term care hospital, Tampa, FL, CCN 102009

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy190
Upper gastrointestinal (GI) endoscopy for acid reflux172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0068180FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Girish Patel MD PA Specialist CurrentSince Aug 23, 2006 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
West Central Gastroenterology LLP PastSince Aug 23, 2006 Accepting new patients

Locations

2191 9th Ave N
Ste 250
St Petersburg, FL 33713
Phone (727) 321-9566

2112 16th St N
St Petersburg, FL 33704
Phone (727) 821-2171

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gpatel188977@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJJIAA/Endpoint/GJJIAA

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.

Hospital & facility affiliations 8

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1508975343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 16TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043924",
            "telephone_number": "727-821-7111",
            "fax_number": "727-821-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 16TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043924",
            "telephone_number": "727-821-7111",
            "fax_number": "727-821-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GIRISH",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378469000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.