Active NPI
Priti P Patel, M. D.
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME159558
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2115800046 | Medicaid | NY |
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 W Bougainvillea Ave
Tampa, FL 33612-7437
Phone (813) 932-4381
Hospital & facility affiliations
- Elmwood Home Care, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159558 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Holdings Company LLC | Current | Accepting new patients | |
| Palm Medical Centers | Current | Accepting new patients | |
| Primary Urgent Medical PC | Internal Medicine | Current | Accepting new patients |
| Palm Medical Center Lakeland LLC | Current | 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.
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Clinic/Center
- Lakeland, FL
- NPI 1437650579
-
- Clinic/Center
- Dade City, FL
- NPI 1952039562
-
- Internal Medicine Physician
- Lindenhurst, NY
- NPI 1700313574
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Providence, RI
- NPI 1184073058
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.