Active NPI
Amit Patel, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME130524
- Practice address
- 1032 Mar Walt Dr Unit 230
Fort Walton Beach, FL 32547-6661 - Phone
- (850) 862-3194
- Fax
- (850) 862-4423
- NPI assigned
- Feb 20, 2006
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 40988 | AZ | |
| Specialist | 174400000X | MD420780 | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME130524 | FL | Primary |
Addresses
Primary practice location
1032 Mar Walt Dr Unit 230
Fort Walton Beach, FL 32547-6661
Mailing address
1032 Mar Walt Dr Unit 230
Fort Walton Beach, FL 32547-6661
Phone (850) 862-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101237985 | Medicaid | PA |
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
- Thoracic Surgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100
125 Baptist Way
Pensacola, FL 32503-2254
9400 University Pkwy
Pensacola, FL 32514-5485
Hospital & facility affiliations
- Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40988 | AZ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Group LLC | Current | Accepting new patients | |
| Baptist Medical Group LLC | Current | Accepting new patients |
Locations
125 Baptist Way
Ste 3C
Pensacola, FL 32503
Phone (448) 227-6500
1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081
9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256
Interoperability endpoints
- amit.patel@hca5.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Pensacola, FL
- NPI 1376779892
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1629749692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1669447199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 MAR WALT DR UNIT 230",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476661",
"telephone_number": "850-862-3194",
"fax_number": "850-862-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 MAR WALT DR UNIT 230",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476661",
"telephone_number": "850-862-3194",
"fax_number": "850-862-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "40988",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD420780",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME130524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101237985",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.