Organization Active NPI

Titusville Surgical Associates MD PA

  • Surgery Physician
  • Titusville, FL
National Provider Identifier
1780871830
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TITUSVILLE SURGICAL ASSOCIATES MD PA
Practice address
494 North Washington Avenue
Suite #2
Titusville, FL 32781
Phone
(321) 267-4264
Fax
(321) 267-7012
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Rameshbhai P Patel, MDNPI 1699724369
Title
President
Phone
(321) 267-4264

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

494 North Washington Avenue
Suite #2
Titusville, FL 32781

Mailing address

PO Box 2727
Titusville, FL 32781
Phone (321) 267-4264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000030 FL Part B Supplier - Clinic/Group Practice 9537242482 Receives reassigned benefits from 1 practitioner
Practice locations: Titusville, FL

National Provider Directory

National Provider Directory

Locations

2475 S Washington Ave
Titusville, FL 32780
Phone (321) 267-4264

494 N Washington Ave
Ste 2
Titusville, FL 32796
Phone (321) 267-4264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1780871830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2727",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32781",
            "telephone_number": "321-267-4264",
            "fax_number": "321-267-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 NORTH WASHINGTON AVENUE",
            "address_2": "SUITE #2",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32781",
            "telephone_number": "321-267-4264",
            "fax_number": "321-267-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUSVILLE SURGICAL ASSOCIATES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAMESHBHAI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-267-4264",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.