Individual provider Active NPI

Priti P Patel, M. D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1730179748
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME159558 Issued in FL
Practice address
116 W Bougainvillea Ave
Tampa, FL 33612-7437
Phone
(813) 932-4381
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207298 NY
Internal Medicine Physician 207R00000X ME159558 FL Primary

Addresses

Primary practice location

116 W Bougainvillea Ave
Tampa, FL 33612-7437

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (305) 913-9454

Other identifiers 1

IdentifierTypeStateIssuer
2115800046MedicaidNY

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
I20240108005680 FL Practitioner - Internal Medicine 3779471347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

116 W Bougainvillea Ave
Tampa, FL 33612-7437
Phone (813) 932-4381

Hospital & facility affiliations

  • Elmwood Home Care, Inc Home health agency, Taunton, MA, CCN 227751

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159558FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC Current Accepting new patients
Palm Medical Centers CurrentSince Jan 8, 2024 Accepting new patients
Primary Urgent Medical PC Internal Medicine CurrentSince Nov 18, 2025 Accepting new patients
Palm Medical Center Lakeland LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

2250 Osprey Blvd
Ste 101
Bartow, FL 33830
Phone (863) 533-4454

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

116 W Bougainvillea Ave
Tampa, FL 33612
Phone (813) 932-4291

791 Wellwood Ave
Ste 4
Lindenhurst, NY 11757

791 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 870-1620

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1730179748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9454",
            "fax_number": "305-442-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W BOUGAINVILLEA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127437",
            "telephone_number": "813-932-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITI",
        "middle_name": "P",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207298",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME159558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115800046",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.