Individual provider Active NPI

Keyur Harish Patel, M.D.

  • Neurology Physician
  • Clearwater, FL
National Provider Identifier
1548606460
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME134978 Issued in FL
Practice address
1417 S Belcher Rd Ste C
Clearwater, FL 33764-2824
Phone
(727) 443-3295
Fax
(727) 446-4336
NPI assigned
May 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X ME134978 FL Primary

Addresses

Primary practice location

1417 S Belcher Rd Ste C
Clearwater, FL 33764-2824

Mailing address

1417 S Belcher Rd Ste C
Clearwater, FL 33764-2824
Phone (727) 443-3295

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
I20190703002249 FL Practitioner - Neurology 8729313218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Neurosciences of Tampa Bay LLPGroup PAC ID 8527132075, 5 clinicians

Practice addresses (Care Compare)

1417 S Belcher Rd
Suite C
Clearwater, FL 33764-2824
Phone (727) 443-3295

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134978FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Neurosciences of Tampa Bay LLP Multi-Specialty CurrentSince May 15, 2019 Accepting new patients

Locations

430 Morton Plant St
Ste 400
Clearwater, FL 33756
Phone (727) 443-3295

1417 S Belcher Rd
Ste C
Clearwater, FL 33764
Phone (727) 443-3295

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 1

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 1

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": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1548606460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S BELCHER RD STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642824",
            "telephone_number": "727-443-3295",
            "fax_number": "727-446-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S BELCHER RD STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642824",
            "telephone_number": "727-443-3295",
            "fax_number": "727-446-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KEYUR",
        "middle_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-19",
        "last_updated": "2022-07-14",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME134978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.