Individual provider Active NPI

Ishan Sureshchandra Patel, MBBS

  • Hematology & Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1528556917
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME173936 Issued in FL
Practice address
2 Shircliff Way
Mary Virginia Terry Cancer Center
Jacksonville, FL 32204
Phone
(904) 388-2619
Fax
(904) 739-7779
NPI assigned
May 1, 2018
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101275365 VA
Internal Medicine Physician 207R00000X MD-48597 IA
Hematology & Oncology Physician 207RH0003X ME173936 FL Primary
Hospitalist Physician 208M00000X MD-48597 IA

Addresses

Primary practice location

2 Shircliff Way
Mary Virginia Terry Cancer Center
Jacksonville, FL 32204

Mailing address

7751 Belfort Pkwy Ste 350
Jacksonville, FL 32256-6951
Phone (904) 363-7453

Other practice location 1

725 Skymarks Dr Ste 10-1
Jacksonville, FL 32218-7296
Phone (904) 367-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240314003231 DC Practitioner - HospitalistPractitioner - Internal Medicine 8224430350 Reassigns benefits to 1 organization
I20240328000070 VA Practitioner - HospitalistPractitioner - Internal Medicine 8224430350 Reassigns benefits to 1 organization
I20250605003829 FL Practitioner - Medical OncologyPractitioner - Hematology 8224430350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Specialists LLCGroup PAC ID 9133377948, 46 clinicians

Practice addresses (Care Compare)

725 Skymarks Dr
Suite 10 1
Jacksonville, FL 32218-7248
Phone (904) 367-2611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48597IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Feb 18, 2024 Accepting new patients
Cancer Specialists, LLC Hematology & Oncology CurrentSince Sep 7, 2025 Accepting new patients
Inova Health Care Services CurrentSince Feb 18, 2024 Accepting new patients
Cancer Specialists, LLC CurrentSince Sep 7, 2025 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Feb 18, 2024 Accepting new patients

Locations

2 Shircliff Way
Jacksonville, FL 32204
Phone (904) 308-7411

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

725 Skymarks Dr
Ste 101
Jacksonville, FL 32218
Phone (904) 367-2611

7751 Belfort Pkwy
Ste 350
Jacksonville, FL 32256
Phone (904) 363-7453

159 N 3rd St
Ste E
Macclenny, FL 32063
Phone (904) 388-2619

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 5

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.

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1528556917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 BELFORT PKWY STE 350",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566951",
            "telephone_number": "904-363-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "MARY VIRGINIA TERRY CANCER CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-388-2619",
            "fax_number": "904-739-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Skymarks Dr Ste 10-1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322187296",
            "country_code": "US",
            "telephone_number": "904-367-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ISHAN",
        "middle_name": "SURESHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101275365",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-48597",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME173936",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-48597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.