Nirali M Patel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112553 Issued in FL

Practice address

749 Highway 466
Lady Lake, FL 32159-6340

Phone

(352) 350-5130

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tampa Bay Family Physicians IncGroup PAC ID 9537313093, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles (1 of 3)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: nirali.patel@tbfp.eclinicaldirectplus.com

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.

• Tampa Bay Family Physicians Inc

  • Primary Care Clinic/Center
  • Wimauma, FL
  • NPI 1396000154
  Medicare reassignment Care Compare group
• Seattle Internist Group PLLC

  • Hospitalist Physician
  • Seattle, WA
  • NPI 1407545569
  Medicare reassignment
• Cardiac and Vascular Consultants MD PA

  • Medical Specialty Clinic/Center
  • The Villages, FL
  • NPI 1093006108
  NPD (past)

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

• Sun City Hospital Inc

  • General Acute Care Hospital
  • Sun City Center, FL
  • NPI 1164476867
  Care Compare affiliation

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1689225005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596340",
            "telephone_number": "352-350-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596340",
            "telephone_number": "352-350-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRALI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuhar Vinodkumar Pal, DMD
• Stephanie Palmer
• Charles John Pappas, O.D.
• Paramount Urgent Care Inc
• Paramount Urgent Care Inc
• Utkarsh S Patel, PT
• Kettelene Paul, NURSE PRACTITIONER
• PC Medicine
• PCP Lady Lake Opco LLC
• Pegs TV Angels

• Physician Assistant in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.