Individual provider Active NPI

Bhavesh S Patel, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1679549232
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME84047 Issued in FL
Practice address
4348 Southpoint Blvd
Suite 100
Jacksonville, FL 32216-0986
Phone
(904) 281-1915
Fax
(904) 281-1119
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME84047 FL Primary

Addresses

Primary practice location

4348 Southpoint Blvd
Suite 100
Jacksonville, FL 32216-0986

Mailing address

2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233
Phone (321) 207-9029

Other practice location 1

2600 Lake Lucien Dr Ste 112
Maitland, FL 32751-7233
Phone (321) 207-9029

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
I20040329000148 FL Practitioner - Internal Medicine 0749172344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rmed LLCGroup PAC ID 6608768411, 25 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Tampa, FL 33619
Phone (813) 517-0137

Tampa, FL 33637
Phone (813) 517-0137

905 Assisi LN
Jacksonville, FL 32233-2972
Phone (904) 595-6520

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Jacksonville, FL, CCN 109742
  • Pinnacle Home Care Home health agency, Ormond Beach, FL, CCN 108499
  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Alpine Care Home Health Home health agency, Jacksonville, FL, CCN 108117
  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201677NYMDAnesthesiology Physician
ME84047FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC Internal Medicine CurrentSince Dec 8, 2003 Accepting new patients
Iah of Florida, LLC CurrentSince Jan 1, 2015 Accepting new patients
Rmed LLC Internal Medicine CurrentSince Dec 8, 2003 Accepting new patients
CMC Housestaff Past Accepting new patients

Locations

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: bhavesh.patel.1@32913.direct.athenahealth.com

Organizations & group practices 4

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1679549232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 112",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517233",
            "telephone_number": "321-207-9029",
            "fax_number": "844-410-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160986",
            "telephone_number": "904-281-1915",
            "fax_number": "904-281-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Lake Lucien Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517233",
            "country_code": "US",
            "telephone_number": "321-207-9029",
            "fax_number": "844-410-7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVESH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.