Individual provider Active NPI

Rutvi Patel, MD

  • Surgery Physician
  • Crestview, FL
National Provider Identifier
1730743915
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME179343 Issued in FL
Practice address
550 Redstone Ave W Ste 410
Crestview, FL 32536-6457
Phone
(850) 306-2188
Fax
(850) 306-2044
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 101182 GA
Surgery Physician 208600000X ME179343 FL Primary

Addresses

Primary practice location

550 Redstone Ave W Ste 410
Crestview, FL 32536-6457

Mailing address

550 Redstone Ave W Ste 410
Crestview, FL 32536-6457
Phone (850) 306-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241029004090 GA Practitioner - General Surgery 4183157175 Reassigns benefits to 1 organization
I20260317004895 FL Practitioner - General Surgery 4183157175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians

Practice addresses (Care Compare)

2300 Manchester Expy
Suite C001
Columbus, GA 31904-6877
Phone (706) 324-3243

550 W Redstone Ave
Suite 410
Crestview, FL 32539-4657
Phone (850) 306-2188

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME179343FLMDSurgery Physician
101182GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Okaloosa Clinic Corp CurrentSince May 1, 2026 Accepting new patients
North Okaloosa Clinic Corp CurrentSince May 1, 2026 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Oct 1, 2024 Accepting new patients
St. Francis Center for Surgical Care, LLC Surgery Past Accepting new patients

Locations

550 Redstone Ave W
Ste 410
Crestview, FL 32536
Phone (850) 306-2188

2300 Manchester Expy
Ste C001
Columbus, GA 31904
Phone (706) 243-4594

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste 2001A
Columbus, GA 31904
Phone (706) 320-3126

Organizations & group practices 5

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 2

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1730743915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W STE 410",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366457",
            "telephone_number": "850-306-2188",
            "fax_number": "850-306-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W STE 410",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366457",
            "telephone_number": "850-306-2188",
            "fax_number": "850-306-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUTVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "101182",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME179343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.