Individual provider Active NPI

Dhiraj B Patel, M.D.

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1710938527
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0040172 Issued in FL
Practice address
3109 Stirling Road
Suite 106
Ft Lauderdale, FL 33312
Phone
(954) 963-4112
Fax
(954) 962-4779
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0040172 FL Primary

Addresses

Primary practice location

3109 Stirling Road
Suite 106
Ft Lauderdale, FL 33312

Mailing address

3109 Stirling Road
Suite 106
Ft Lauderdale, FL 33312
Phone (954) 963-4112

Other identifiers 1

IdentifierTypeStateIssuer
041774200MedicaidFL

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
I20130516000259 FL Practitioner - Internal Medicine 9537306261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Healthcare Centers, LPGroup PAC ID 5294064176, 12 clinicians

Practice addresses (Care Compare)

1874 W Hillsboro Blvd
Suite F
Deerfield Beach, FL 33442-1420
Phone (954) 698-6266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0040172FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Centers, LP CurrentSince Jan 28, 2022 Accepting new patients
Karia & Patel Stirling Health Center PA Internal Medicine PastSince Jun 17, 1982 Accepting new patients

Locations

1874 W Hillsboro Blvd
Ste F
Deerfield Beach, FL 33442
Phone (954) 426-4544

3109 Stirling Rd
Ste 106
Ft Lauderdale, FL 33312
Phone (954) 276-1370

4330 Sheridan St
Ste 201B
Hollywood, FL 33021
Phone (954) 519-2201

10011 Pines Blvd
Ste 106
Pembroke Pines, FL 33024
Phone (954) 435-3333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1710938527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 STIRLING ROAD",
            "address_2": "SUITE 106",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-4112",
            "fax_number": "954-962-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 STIRLING ROAD",
            "address_2": "SUITE 106",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-4112",
            "fax_number": "954-962-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHIRAJ",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0040172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041774200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.