Individual provider Active NPI

Archi Patel, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
National Provider Identifier
1710368501
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME137635 Issued in FL
Practice address
18311 Highwoods Preserve Pkwy Unit 6413
Tampa, FL 33647-1925
Phone
(908) 316-2324
NPI assigned
Jun 17, 2015
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME137635 FL Primary

Addresses

Primary practice location

18311 Highwoods Preserve Pkwy Unit 6413
Tampa, FL 33647-1925

Mailing address

325 N. State of Franklin
Johnson City, TN 37614
Phone (423) 439-6283

Other practice location 1

325 N. State of Franklin
Johnson City, TN 37614
Phone (423) 439-6283

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
I20200702000696 FL Practitioner - Pathology 7618390063 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive and Liver Center of FL, LLCGroup PAC ID 2365467867, 23 clinicians
Orlando Gastroenterology, P.a.Group PAC ID 4587818463, 7 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Orlando, FL 32825-3710
Phone (407) 348-7388

1507 S Hiawassee Rd
Suite 105
Orlando, FL 32835-5706
Phone (407) 445-9224

34041 US Hwy 19 N
Suite a
Palm Harbor, FL 34684-2648
Phone (727) 786-0017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137635FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Liver Center of FL, LLC CurrentSince Mar 20, 2024 Accepting new patients
Trustees of Mease Hospital Inc CurrentSince Jul 1, 2020 Accepting new patients
Mid-Florida Pathology LLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2020 Accepting new patients
Advanced Gastroenterology Associates LLC CurrentSince Jul 1, 2020 Accepting new patients
Akro Gastro, LLC CurrentSince Jul 1, 2023 Accepting new patients
7 Hill Gastroenterology PA CurrentSince Mar 26, 2024 Accepting new patients
Bay Area Advance Gastroenterology Care Inc CurrentSince Apr 1, 2024 Accepting new patients
Orlando Gastroenterology, P.a. CurrentSince Mar 20, 2024 Accepting new patients
Thakkar Patel & Avalos MD's LLC CurrentSince May 31, 2022 Accepting new patients
Mid-Florida Pathology Past Accepting new patients

Locations

1130 Kyle Wood Ln
Brandon, FL 33511
Phone (813) 600-5423

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

2100 Prevatt St
Eustis, FL 32726
Phone (352) 308-8903

120 E North Blvd
Ste 102
Leesburg, FL 34748
Phone (352) 460-0292

3256 S Pine Ave
Ocala, FL 34471
Phone (352) 401-1919

201 SW 16th St
Okeechobee, FL 34974
Phone (863) 623-4697

100 N Dean Rd
Ste 100
Orlando, FL 32825

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

1507 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 445-9224

34041 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 781-0204

34041 US Highway 19 N
Ste A
Palm Harbor, FL 34684
Phone (727) 771-8770

1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDDDCA

Organizations & group practices 10

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1710368501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N. STATE OF FRANKLIN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-439-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18311 HIGHWOODS PRESERVE PKWY UNIT 6413",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471925",
            "telephone_number": "908-316-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N. State of Franklin",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37614",
            "country_code": "US",
            "telephone_number": "423-439-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARCHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME137635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.