Organization Active NPI

JSK MD LLC

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1538625520
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JSK MD LLC
Doing business as
JSK MD LLC
Practice address
419 SW 15TH St
Ocala, FL 34471-0609
Phone
(352) 732-6400
Fax
(352) 671-5283
NPI assigned
Feb 14, 2019
Organization subpart
Yes
Parent organization
SANJAY A PATEL MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dr. Sanjay Ashwin Patel, MDNPI 1003866823
Title
Owner
Phone
(352) 732-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

419 SW 15TH St
Ocala, FL 34471-0609

Mailing address

419 SW 15TH St
Ocala, FL 34471-0609
Phone (352) 732-6400

Other names 1

  • JSK MD LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109002137 FL Part B Supplier - Clinic/Group Practice 1557796034 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory
Part of
Sanjay a Patel M D P a

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1538625520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SW 15TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710609",
            "telephone_number": "352-732-6400",
            "fax_number": "352-671-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SW 15TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710609",
            "telephone_number": "352-732-6400",
            "fax_number": "352-671-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANJAY A PATEL MD PA",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "ASHWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-732-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSK MD LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JSK MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.