Individual provider Active NPI

Pritesh Patel, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Lutz, FL
National Provider Identifier
1528166295
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME88796 Issued in FL
Practice address
18928 N Dale Mabry Hwy Ste 101
Lutz, FL 33548-4922
Phone
(813) 909-1146
Fax
(813) 909-4334
NPI assigned
Sep 20, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME88796 FL Primary

Addresses

Primary practice location

18928 N Dale Mabry Hwy Ste 101
Lutz, FL 33548-4922

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (813) 536-7277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pritesh.patel@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20050124000021 FL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3375593882 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC CurrentSince Feb 1, 2023 Accepting new patients
Pritesh & Tarak P a CurrentSince May 6, 2005 Accepting new patients
Independant Ipa,LLC Past Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

20525 Amberfield Dr
Unit 104
Land O Lakes, FL 34638
Phone (813) 536-7281

18928 N Dale Mabry Hwy
Ste 101
Lutz, FL 33548
Phone (813) 909-1146

8623 Regency Park Blvd
Port Richey, FL 34668
Phone (727) 842-9861

6703 38th Ave N
St Petersburg, FL 33710
Phone (727) 213-5377

320 W Fletcher Ave
Ste 101
Tampa, FL 33612
Phone (813) 374-9266

1838 Health Care Dr
Bldg 2
Trinity, FL 34655
Phone (727) 247-1060

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1528166295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18928 N DALE MABRY HWY STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484922",
            "telephone_number": "813-909-1146",
            "fax_number": "813-909-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME88796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pritesh.patel@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18928 N Dale Mabry Hwy Ste 101",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335484922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.