Individual provider Active NPI

Priya Kirankant Patel

  • Allergy & Immunology Physician
  • St Petersburg, FL
National Provider Identifier
1548729304
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME158553 Issued in FL
Practice address
333 Dr Martin Luther King Jr St N
St Petersburg, FL 33701-2717
Phone
(727) 825-0111
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME158553 FL Primary
Pediatrics Physician 208000000X ME158553 FL

Addresses

Primary practice location

333 Dr Martin Luther King Jr St N
St Petersburg, FL 33701-2717

Mailing address

3750 26TH Ave N
St Petersburg, FL 33713-3414
Phone (949) 241-0239

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
I20241030004465 FL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4486187382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Associates PAGroup PAC ID 7810082294, 3 clinicians

Practice addresses (Care Compare)

333 Dr ML King Jr St N
St Petersburg, FL 33701-2717
Phone (727) 825-0111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME158553FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Associates PA Allergy & Immunology CurrentSince Sep 11, 2024 Accepting new patients

Locations

333 Mlk Jr St N
St Petersburg, FL 33701
Phone (727) 823-1111

Interoperability endpoints

  • Direct secure messaging: ppatel733190@direct.hopkinsmedicine.org

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, 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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1548729304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 26TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337133414",
            "telephone_number": "949-241-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012717",
            "telephone_number": "727-825-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYA",
        "middle_name": "KIRANKANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME158553",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME158553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.