Individual provider Active NPI

Tejal Patel, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Port St Lucie, FL
National Provider Identifier
1679923932
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
163756 Issued in 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
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 163756 FL Primary

Addresses

Primary practice location

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

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3614
Phone (866) 697-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220411001588 TX Practitioner - Pathology 7416221379 Reassigns benefits to 1 organization
I20230908002471 FL Practitioner - Pathology 7416221379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163756FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 5, 2023 Accepting new patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 5, 2023 Accepting new patients
Ameripath Florida LLC Current Accepting new patients
Urology Clinics of North Texas, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2022 Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1701 SE Hillmoor Dr
Ste C11
Port St Lucie, FL 34952
Phone (772) 335-0626

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150
Phone (214) 692-8262

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.