NPIMap

Individual provider Active NPI

Mihir K. Patel, MD

  • Gastroenterology Physician
  • Port Orange, FL
National Provider Identifier
1649467218
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME106381 Issued in FL
Practice address
3635 Clyde Morris Blvd Ste 270
Port Orange, FL 32129-2349
Phone
(386) 788-1242
Fax
(386) 756-8802
NPI assigned
Sep 27, 2007
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME106381 FL Primary

Addresses

Primary practice location

3635 Clyde Morris Blvd Ste 270
Port Orange, FL 32129-2349

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-7205

Other identifiers 1

IdentifierTypeStateIssuer
024888500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100831000844 FL Practitioner - Gastroenterology 5890819692 Reassigns benefits to 1 organization
I20151222000937 SD Practitioner - GastroenterologyPractitioner - Internal Medicine 5890819692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

3635 S Clyde Morris Blvd
Suite 100
Port Orange, FL 32129-2349
Phone (386) 788-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
69.69
Promoting interoperability
89
Improvement activities
40
Cost
69.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy157
Upper gastrointestinal (GI) endoscopy for acid reflux280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1511SDMDChiropractor
51392TNMDRegistered Nurse
ME106381FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Oct 31, 2015 Accepting new patients
Sanford Clinic CurrentSince Oct 31, 2015 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Oct 31, 2015 Accepting new patients
Borland Groover Clinic, PA Gastroenterology CurrentSince Aug 28, 2023 Accepting new patients
West Tennessee Medical Group Inc Past Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients
Gastrointestinal Associates PA PastSince Aug 28, 2023 Accepting new patients
Jose J Rosales MD PA Past Accepting new patients

Locations

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433

305 Clyde Morris Blvd
Ste 270
Ormond Beach, FL 32174
Phone (386) 788-1242

3635 Clyde Morris Blvd
Ste 100
Port Orange, FL 32129
Phone (386) 788-1242

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mihir.patel.p1@direct.bgclinic.nextgenshare.com

Organizations & group practices 9

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 4

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1649467218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566004",
            "telephone_number": "904-398-7205",
            "fax_number": "386-756-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 CLYDE MORRIS BLVD STE 270",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292349",
            "telephone_number": "386-788-1242",
            "fax_number": "386-756-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MIHIR",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME106381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024888500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.