Individual provider Active NPI

Krunal Bharat Patel, M.D.

  • Pulmonary Disease Physician
  • Fort Myers, FL
National Provider Identifier
1609142264
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME122216 Issued in FL
Practice address
16420 Healthpark Commons Dr
Fort Myers, FL 33908-9621
Phone
(239) 985-1925
Fax
(239) 321-6044
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME122216 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME122216 FL

Addresses

Primary practice location

16420 Healthpark Commons Dr
Fort Myers, FL 33908-9621

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 985-1925

Other practice location 1

16271 Bass Rd
Fort Myers, FL 33908-3616
Phone (239) 985-1925

Other identifiers 1

IdentifierTypeStateIssuer
024595100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel114749@Direct.leememorial.org Direct Lee Memorial Health System

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
I20150302001113 FL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3971736372 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13340 Metro Pkwy
Fort Myers, FL 33966-4818

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

16281 Bass Rd
Fort Myers, FL 33908-9687

16410 Healthpark Commons Dr
Fort Myers, FL 33908-9621
Phone (239) 343-6202

16420 Healthpark Commons Dr
Fort Myers, FL 33908-9621
Phone (239) 985-1925

23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0120

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122216FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Oct 8, 2023 Accepting new patients
Lee Memorial Health System Current Accepting new patients
Lee Memorial Health System CurrentSince Oct 8, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 26, 2015 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 26, 2015 Accepting new patients
Genesiscare USA of Florida LLC Pulmonary Disease CurrentSince Aug 1, 2018 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Aug 1, 2018 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

16271 Bass Rd
Fort Myers, FL 33908
Phone (239) 343-7100

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

7335 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-6677

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

16420 Healthpark Commons Dr
Fort Myers, FL 33908
Phone (239) 437-6670

2160 Colonial Blvd
Fort Myers, FL 33907

6300 N Andrews Ave
Ft Lauderdale, FL 33309
Phone (954) 492-2035

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kpatel114749@direct.leememorial.org

Organizations & group practices 10

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 3

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1609142264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-985-1925",
            "fax_number": "239-468-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 HEALTHPARK COMMONS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089621",
            "telephone_number": "239-985-1925",
            "fax_number": "239-321-6044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16271 Bass Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083616",
            "country_code": "US",
            "telephone_number": "239-985-1925",
            "fax_number": "239-468-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUNAL",
        "middle_name": "BHARAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME122216",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME122216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024595100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel114749@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.