NPIMap

Individual provider Active NPI

Amesh J Patel, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Lutz, FL
National Provider Identifier
1770892739
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
ME114691 Issued in FL
Practice address
18407 Tapestry Lake Cir Apt 102
Lutz, FL 33548-4569
Phone
(137) 394-5485
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME114691 FL
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X ME114691 FL Primary

Addresses

Primary practice location

18407 Tapestry Lake Cir Apt 102
Lutz, FL 33548-4569

Mailing address

PO Box 25595
Tampa, FL 33622-5595
Phone (727) 823-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000138 FL Practitioner - Preventive MedicinePractitioner - Family Practice 1850536624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

1120 Pinellas Bayway S
Suite 200
Tierra Verde, FL 33715-1505
Phone (727) 867-5480

14000 Fivay Rd
Hudson, FL 34667-7103
Phone 72786955511054

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 629-8515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue855
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC Single Specialty CurrentSince Jan 25, 2021 Accepting new patients
Nautilus Health Care Group LLC Single Specialty CurrentSince Jan 25, 2021 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Socorro Health LLC Single Specialty Past Accepting new patients

Locations

2000 Osprey Blvd
Ste 202
Bartow, FL 33830
Phone (863) 531-8436

11371 Cortez Blvd
Ste 134
Brooksville, FL 34613
Phone (352) 606-7182

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

7525 Medical Dr
Hudson, FL 34667
Phone (727) 869-5551

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

9332 State Road 54
Trinity, FL 34655
Phone (727) 834-4833

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.

Hospital & facility affiliations 7

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1770892739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25595",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225595",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18407 TAPESTRY LAKE CIR APT 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484569",
            "telephone_number": "137-394-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMESH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME114691",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME114691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.