Individual provider Active NPI

Ashishkumar Patel, MD

  • Pediatric Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1770973075
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME138415 Issued in FL
Practice address
6100 Greenland Rd
Ste 301
Jacksonville, FL 32258-2626
Phone
(904) 257-6264
Fax
(904) 293-1326
NPI assigned
Jan 26, 2015
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME138415 FL
Pediatric Cardiology Physician 2080P0202X ME138415 FL Primary

Addresses

Primary practice location

6100 Greenland Rd
Ste 301
Jacksonville, FL 32258-2626

Mailing address

6100 Greenland Rd Ste 301
Jacksonville, FL 32258-2626
Phone (904) 257-6264

Other practice location 1

307 SW 14th St
Ocala, FL 34471-6523
Phone (407) 303-2001

Other identifiers 2

IdentifierTypeStateIssuer
102213100MedicaidFL
102515700MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418000592 FL Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7315255445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2501 N Orange Ave
Suite 200
Orlando, FL 32804-4641
Phone (407) 303-7280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138415FLMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Jun 23, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 23, 2020 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 200
Orlando, FL 32804
Phone (407) 303-7280

Interoperability endpoints

  • Direct secure messaging: apatel144976@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1770973075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582626",
            "telephone_number": "904-257-6264",
            "fax_number": "904-293-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD",
            "address_2": "STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582626",
            "telephone_number": "904-257-6264",
            "fax_number": "904-293-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 SW 14th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716523",
            "country_code": "US",
            "telephone_number": "407-303-2001",
            "fax_number": "407-303-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHISHKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME138415",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME138415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102213100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102515700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.