Individual provider Active NPI

Jayshal Pramod Patel, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Lake Worth Beach, FL
National Provider Identifier
1649809955
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
ME163572 Issued in FL
Practice address
4865 40TH Way S
Lake Worth Beach, FL 33461-5301
Phone
(888) 994-8981
NPI assigned
Apr 7, 2020
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME163572 FL
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME163572 FL Primary
Pain Medicine Physician 208VP0000X ME163572 FL

Addresses

Primary practice location

4865 40TH Way S
Lake Worth Beach, FL 33461-5301

Mailing address

16385 Biscayne Blvd Unit 519
Aventura, FL 33160-5457
Phone (901) 493-9904

Other practice location 1

5900 Johnson St
Hollywood, FL 33021-5638
Phone (888) 861-8628

Other practice location 2

5333 N Dixie Hwy Ste 204
Oakland Park, FL 33334-3454
Phone (954) 776-7566

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
I20230822001263 FL Practitioner - Internal Medicine 2264862192 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163572FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Medical Group, LLC CurrentSince Aug 25, 2024 Accepting new patients
The McGregor Clinic, Inc CurrentSince Nov 17, 2025 Accepting new patients

Locations

3487 Broadway
Fort Myers, FL 33901
Phone (239) 334-2555

3487 Broadway
Ste 100
Fort Myers, FL 33901

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1301 2nd Ave SW
#306
Largo, FL 33770
Phone (347) 308-5773

501 NW 179th Ave
Pembroke Pines, FL 33029
Phone (954) 272-1445

8251 W Broward Blvd
Ste 102
Plantation, FL 33324
Phone (954) 271-8880

729 E Atlantic Blvd
Pompano Beach, FL 33060
Phone (855) 920-2377

Interoperability endpoints

  • Direct secure messaging: jayshal.patel@238098461884420.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1649809955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16385 BISCAYNE BLVD UNIT 519",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605457",
            "telephone_number": "901-493-9904",
            "fax_number": "929-542-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 40TH WAY S",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334615301",
            "telephone_number": "888-994-8981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215638",
            "country_code": "US",
            "telephone_number": "888-861-8628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5333 N Dixie Hwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333343454",
            "country_code": "US",
            "telephone_number": "954-776-7566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYSHAL",
        "middle_name": "PRAMOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163572",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME163572",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME163572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

Verify at the official NPI Registry.