Individual provider Active NPI

Rajnikant C Patel, M.D.

  • Internal Medicine Physician
  • Thonotosassa, FL
National Provider Identifier
1679597512
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 0088670 Issued in FL
Practice address
10616 Main St
Thonotosassa, FL 33592-2828
Phone
(813) 986-1346
Fax
(813) 986-6642
NPI assigned
Jul 26, 2006
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 ME 0088670 FL Primary

Addresses

Primary practice location

10616 Main St
Thonotosassa, FL 33592-2828

Mailing address

10616 Main St
Thonotosassa, FL 33592-2828
Phone (813) 684-3222

Other identifiers 1

IdentifierTypeStateIssuer
2734311-00MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WellMed

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
I20041119000301 FL Practitioner - Internal Medicine 6608830575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10616 Main St
Thonotosassa, FL 33592-2828
Phone (813) 986-1346

2155 SE Federal Hwy
Wellmed at South Stuart
Stuart, FL 34994-4514
Phone (772) 223-9630

2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0088670FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince May 1, 2016 Accepting new patients
TJH Medical Services, P.C. Internal Medicine Past Accepting new patients

Locations

621 W Brandon Blvd
Brandon, FL 33511
Phone (813) 678-2373

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

2204 S Parsons Ave
Seffner, FL 33584
Phone (813) 324-5276

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

10616 Main St
Thonotosassa, FL 33592
Phone (813) 220-5535

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rajnikant.patel@wellmed.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1679597512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 MAIN ST",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922828",
            "telephone_number": "813-684-3222",
            "fax_number": "813-681-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 MAIN ST",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922828",
            "telephone_number": "813-986-1346",
            "fax_number": "813-986-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJNIKANT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0088670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734311-00",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WellMed",
            "affiliation": "N",
            "address_1": "10616 Main St",
            "city": "Thonotosassa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335922828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thonotosassa, FL

Sources for this page

Verify at the official NPI Registry.