Individual provider Active NPI

Jayendrakumar Shantilal Patel, MD

  • Interventional Cardiology Physician
  • Clearwater, FL
National Provider Identifier
1760703318
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME139905 Issued in FL
Practice address
455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone
(727) 445-1911
Fax
(727) 445-1986
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME139905 FL Primary

Addresses

Primary practice location

455 Pinellas St Ste 400
Clearwater, FL 33756-3356

Mailing address

455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone (727) 445-1911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jayendrakumar.patelmd@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 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
I20190717002951 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709029770 Reassigns benefits to 4 organizations
I20230206000710 WI Practitioner - Interventional Cardiology 6709029770

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Plant Mease Diagnostic Cardiology LLCGroup PAC ID 0648415034, 27 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6604
Phone (727) 724-8611

2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

455 Pinellas St
Clearwater, FL 33756-3367

455 Pinellas St
Clearwater, FL 33756-3369

646 Virginia St
Dunedin, FL 34698-6612

6600 Madison St
Suite 2
New Port Richey, FL 34652-1971
Phone (727) 815-7207

6633 Forest Ave
New Port Richey, FL 34653-2612

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

8787 Bryan Dairy Rd
Suite 320
Largo, FL 33777-1256
Phone (727) 394-5901

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc CurrentSince Sep 22, 2020 Accepting new patients
Morton Plant Mease Diagnostic Cardiology LLC CurrentSince Jan 7, 2026 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Sep 22, 2020 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Sep 22, 2020 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Apr 27, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Apr 27, 2023 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

455 Pinellas St
Ste 330
Clearwater, FL 33756
Phone (727) 489-2550

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

6633 Forest Ave
Ste 300
New Port Richey, FL 34653
Phone (727) 376-0612

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695
Phone (727) 724-6500

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jayendrakumar.patelmd@direct.mybaycare.org

Organizations & group practices 6

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 6

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1760703318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1911",
            "fax_number": "727-445-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1911",
            "fax_number": "727-445-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYENDRAKUMAR",
        "middle_name": "SHANTILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME139905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jayendrakumar.patelmd@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.