NPIMap

Organization Active NPI

Pritesh & Tarak P a

  • Specialist
  • New Port Richey, FL
National Provider Identifier
1760680870
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME888796 Issued in FL
Legal business name
PRITESH & TARAK P A
Practice address
2114 Seven Springs Blvd
Suite 100
New Port Richey, FL 34655-3908
Phone
(813) 909-1146
NPI assigned
Jul 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Pritesh N Patel, MDNPI 1528166295
Title
Partner
Phone
(813) 909-1146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050815000193 FL Part B Supplier - Clinic/Group Practice 8820028467 Receives reassigned benefits from 19 practitioners
Practice locations: Lutz, FL; New Port Richey, FL; Port Richey, FL; Tampa, FL; Trinity, FL

National Provider Directory

National Provider Directory

Locations

18534 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-7074

7530 Congress St
New Prt Rchy, FL 34653
Phone (727) 842-9861

8623 Regency Park Blvd
Port Richey, FL 34668
Phone (727) 842-9861

2916 W Waters Ave
Tampa, FL 33614
Phone (813) 443-8221

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME888796 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2114 Seven Springs Blvd
Suite 100
New Port Richey, FL 34655-3908

Mailing address

20525 Amberfield Dr Unit 104
Land O Lakes, FL 34638-4381
Phone (813) 536-7277

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
K7958OtherFLMEDICARE GROUP ID #

Other names 1

NPPES NPI Registry
  • SunMed Primary Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2022.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1760680870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 AMBERFIELD DR UNIT 104",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384381",
            "telephone_number": "813-536-7277",
            "fax_number": "833-642-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SEVEN SPRINGS BLVD",
            "address_2": "SUITE 100",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553908",
            "telephone_number": "813-909-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITESH & TARAK P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "813-909-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME888796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID #",
            "identifier": "K7958",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunMed Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SunMed Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.