Individual provider Active NPI

Devanshu Patel, DPM

  • Podiatrist
  • Valrico, FL
National Provider Identifier
1801221593
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4011 Issued in FL
Practice address
1576 Bloomingdale Ave
Valrico, FL 33596-6101
Phone
(908) 764-9386
NPI assigned
Sep 12, 2013
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4011 FL Primary

Addresses

Primary practice location

1576 Bloomingdale Ave
Valrico, FL 33596-6101

Mailing address

1576 Bloomingdale Ave
Valrico, FL 33596-6101
Phone (813) 409-2005

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
I20180813000239 FL Practitioner - Podiatry 0941514939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians

Practice addresses (Care Compare)

1576 Bloomingdale Ave
Valrico, FL 33596-6101
Phone (908) 764-9386

60 N Hwy 17 92
Debary, FL 32713-2513
Phone (212) 764-0008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions1-10
Removal of nail tissue519
Removal or shaving of skin growth65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4011FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedirite Medical FL LLC CurrentSince Apr 1, 2021 Accepting new patients
Hillsborough Foot & Ankle Specialist Podiatrist CurrentSince Nov 15, 2019 Accepting new patients
Healmi Technologies, LLC Podiatrist PastSince Jun 1, 2021 Accepting new patients

Locations

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

1576 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 409-2005

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 3

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1801221593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966101",
            "telephone_number": "813-409-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966101",
            "telephone_number": "908-764-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVANSHU",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.