Active NPI
Markand J Patel, M.D.
- Physical Medicine & Rehabilitation Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME130341
- Practice address
- 205 E Nasa Blvd FL 2
Melbourne, FL 32901 - Phone
- (321) 723-9175
- Fax
- (321) 723-9176
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 2016-00936 | NC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME130341 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 2016-00936 | NC |
Addresses
Primary practice location
205 E Nasa Blvd FL 2
Melbourne, FL 32901
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other practice location 1
903 Jordan Blass Dr Ste 104
Melbourne, FL 32940-1325
Phone (321) 723-9175
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02048824 | Other | FL | FL RR MEDICARE |
| 020409600 | Medicaid | FL | |
| IX758Z | Other | FL | FL MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501
205 E Nasa Blvd
Suite 200
Melbourne, FL 32901-1954
Phone (770) 312-5226
903 Jordan Blass Dr
Suite 104
Melbourne, FL 32940-1325
Phone (770) 312-5226
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 86.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-00936 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
903 Jordan Blass Dr
Ste 104
Melbourne, FL 32940
Phone (321) 622-6508
205 E Nasa Blvd
Ste 200
Melbourne, FL 32901
Phone (321) 723-9175
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Interoperability endpoints
- markand.patel.1@8042.direct.athenahealth.com
- mpatel26609@epicdirect.hf.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 and National Provider Directory roles.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1619266806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E NASA BLVD FL 2",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-723-9175",
"fax_number": "321-723-9176"
}
],
"practiceLocations": [
{
"address_1": "903 Jordan Blass Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329401325",
"country_code": "US",
"telephone_number": "321-723-9175",
"fax_number": "321-723-9176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "MARKAND",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NC",
"license": "2016-00936",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME130341",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2016-00936",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL RR MEDICARE",
"identifier": "P02048824",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020409600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "IX758Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.