Individual provider Active NPI

Neil Patel, DPM

  • Podiatrist
  • Crestview, FL
National Provider Identifier
1760936827
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4086 Issued in FL
Practice address
120 E Redstone Ave
Ste a
Crestview, FL 32539
Phone
(850) 862-4119
NPI assigned
Aug 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4086 FL Primary

Addresses

Primary practice location

120 E Redstone Ave
Ste a
Crestview, FL 32539

Mailing address

120 E Redstone Ave
Ste a
Crestview, FL 32539-5370
Phone (850) 862-4119

Other practice location 1

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-3052

Other practice location 2

341 Racetrack Rd NW
Fort Walton Beach, FL 32547-1787
Phone (850) 862-4119

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000319 FL Practitioner - Podiatry 7911232954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siwicki and Ricciardi, P.L.Group PAC ID 4385647619, 2 clinicians

Practice addresses (Care Compare)

341 A Racetrack Rd NW
Fort Walton BCH, FL 32547-1552
Phone (850) 862-4119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue110
Removal of nail tissue258
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Siwicki & Ricciardi PL Foot & Ankle Surgery CurrentSince Apr 24, 2019 Accepting new patients
Siwicki & Ricciardi,P.L. Podiatrist CurrentSince Apr 24, 2019 Accepting new patients

Locations

120 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 682-6522

341 Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 505-4700

341 Racetrack Rd NW
Ste A
Ft Walton Bch, FL 32547
Phone (850) 862-4119

Organizations & group practices 2

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 5

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": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1760936827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E REDSTONE AVE",
            "address_2": "STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395370",
            "telephone_number": "850-862-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E REDSTONE AVE",
            "address_2": "STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32539",
            "telephone_number": "850-862-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "484-337-3052",
            "fax_number": "484-337-3089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Racetrack Rd NW",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471787",
            "country_code": "US",
            "telephone_number": "850-862-4119",
            "fax_number": "850-862-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEIL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-06",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.