Individual provider Active NPI

Devang Bhaskarbhai Patel, M.D.

  • Pulmonary Disease Physician
  • Stuart, FL
National Provider Identifier
1669546222
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME48874 Issued in FL
Practice address
1100 SE Ocean Blvd
Stuart, FL 34996-2518
Phone
(772) 220-1919
Fax
(772) 220-2335
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME48874 FL Primary

Addresses

Primary practice location

1100 SE Ocean Blvd
Stuart, FL 34996-2518

Mailing address

1100 SE Ocean Blvd
Stuart, FL 34996-2518
Phone (772) 220-1919

Other identifiers 1

IdentifierTypeStateIssuer
035677800MedicaidFL

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
I20040405001875 FL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 6305839432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease, Sleep Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Seocean Blvd
Stuart, FL 34996-2518

3023 SW Marco LN
Palm City, FL 34990-3186
Phone (772) 486-5893

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME48874FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine PA Pulmonary Disease CurrentSince Feb 1, 1994 Accepting new patients

Locations

1100 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 220-1919

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.

Hospital & facility affiliations 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1669546222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962518",
            "telephone_number": "772-220-1919",
            "fax_number": "772-220-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962518",
            "telephone_number": "772-220-1919",
            "fax_number": "772-220-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVANG",
        "middle_name": "BHASKARBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME48874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035677800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.