Individual provider Active NPI

Pratik Shashikant Patel, M.D.

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1689012932
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01083350A Issued in IN
Practice address
1329 SW 16TH St Ste 1210
Box 100371
Gainesville, FL 32610-0186
Phone
(352) 265-0559
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME126466 FL
Emergency Medicine Physician 207P00000X 01083350A IN Primary

Addresses

Primary practice location

1329 SW 16TH St Ste 1210
Box 100371
Gainesville, FL 32610-0186

Mailing address

1329 SW 16TH St Ste 1210
Box 100371
Gainesville, FL 32610-0186
Phone (352) 265-0559

Other identifiers 1

IdentifierTypeStateIssuer
017514200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, TN, IN, GA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160627000675 FL Practitioner - Emergency Medicine 3577798065 Reassigns benefits to 1 organization
I20170301000994 TX Practitioner - Emergency Medicine 3577798065 Reassigns benefits to 4 organizations
I20180712003188 TN Practitioner - Emergency Medicine 3577798065 Reassigns benefits to 2 organizations
I20200320001132 IN Practitioner - Emergency Medicine 3577798065 Reassigns benefits to 2 organizations
I20231102001270 GA Practitioner - Emergency Medicine 3577798065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7523

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 899-7187

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Ascension St Vincent Clay Hospital, Brazil, IN, CCN 151309
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126466FLMDEmergency Medicine Physician
01083350AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County General Hospital Emergency Medicine CurrentSince Feb 3, 2022 Accepting new patients
Greene County General Hospital Emergency Medicine CurrentSince Feb 3, 2022 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Apr 22, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 3, 2020 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Apr 22, 2018 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 10, 2021 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Jun 3, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Emergency Medicine Services of in, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 3, 2020 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 10, 2021 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 10, 2021 Accepting new patients
Level One Emergency Specialists LLC Emergency Medicine PastSince Apr 17, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

Interoperability endpoints

  • Direct secure messaging: ppatel68299@direct.shands.ufl.edu
  • Direct secure messaging: prpatel@unionhealth.cernerdirect.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1689012932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST STE 1210",
            "address_2": "BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST STE 1210",
            "address_2": "BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIK",
        "middle_name": "SHASHIKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME126466",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01083350A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017514200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.