Active NPI
Dhiraj B Patel, M.D.
- Internal Medicine Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0040172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041774200 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0040172 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare Centers, LP | Current | Accepting new patients | |
| Karia & Patel Stirling Health Center PA | Internal Medicine | Past | 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.
-
dba Common Health
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1669931762
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1851691505
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.