NPIMap

Individual provider Active NPI

Rahul Patel, M D

  • Internal Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1790893535
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79886 Issued in FL
Practice address
12989 Southern Blvd
Ste 204
Loxahatchee, FL 33470-9211
Phone
(561) 791-2500
Fax
(561) 791-2535
NPI assigned
Aug 29, 2006
Last updated
Oct 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79886 FL Primary

Addresses

Primary practice location

12989 Southern Blvd
Ste 204
Loxahatchee, FL 33470-9211

Mailing address

12989 Southern Blvd
Ste 204
Loxahatchee, FL 33470-9211
Phone (561) 791-2500

Other identifiers 1

IdentifierTypeStateIssuer
262658600MedicaidFL

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
I20040308000026 FL Practitioner - Internal Medicine 9739077421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12989 Southern Blvd
Suite 204
Loxahatchee, FL 33470-9291
Phone (561) 791-2500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul a Patel MD PA Internal Medicine CurrentSince Mar 1, 2004 Accepting new patients
Glades Primary Care LLC Internal Medicine Past Accepting new patients

Locations

12989 Southern Blvd
Ste 204
Loxahatchee, FL 33470
Phone (561) 784-5885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGCBA/Endpoint/JEGCBA

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1790893535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD",
            "address_2": "STE 204",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709211",
            "telephone_number": "561-791-2500",
            "fax_number": "561-791-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD",
            "address_2": "STE 204",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709211",
            "telephone_number": "561-791-2500",
            "fax_number": "561-791-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262658600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.