Tejal Patel, MD

Key facts

NPI

1679923932

Entity type

Individual (NPI type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician 207ZP0102X

License

163756 (FL)

Practice address

1701 SE Hillmoor Dr Ste C11
Port St Lucie, FL 34952-7541

Phone

(813) 979-8711

Fax

(610) 271-4245

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology Physician · Clermont, FL · NPI 1124091509
  Medicare reassignment NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY · FL
• Urology Clinics of North Texas, PLLC Urology Physician · Dallas, TX · NPI 1720031370
  Medicare reassignment NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY · TX
• Ameripath Florida LLC Clinical Medical Laboratory · Tampa, FL · NPI 1619940517
  NPD
• Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology Physician · Fort Myers, FL · NPI 1255304689
  NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY
• Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology Physician · Fort Myers, FL · NPI 1518735208
  NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY
• Urology Clinics of North Texas, PLLC Specialist · Grapevine, TX · NPI 1780971549
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX, FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 24, 2023.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1679923932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "866-697-8378",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE C11",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527541",
            "telephone_number": "813-979-8711",
            "fax_number": "610-271-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "163756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

• Ankit Patel, MD
• Chandrakant N Patel, MD
• Dipesh B Patel, MD
• Jayna Patel, ARNP
• Priyal Patel
• Path Medical, LLC
• Patients Choice Primary Care LLC
• Patriot Health and Wellness
• April Patterson
• Helen Magdalene Patterson

All providers in Port St Lucie, FL · Anatomic Pathology & Clinical Pathology Physician in Florida