Active NPI
Mayuri H Patel, MD
- Interventional Cardiology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME141240
- Practice address
- 130 Pablo St
Lakeland, FL 33803-3818 - Phone
- (863) 284-5020
- Fax
- (863) 284-5912
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA07412400 | NJ | |
| Interventional Cardiology Physician | 207RI0011X | MD456332 | PA | |
| Interventional Cardiology Physician | 207RI0011X | ME141240 | FL | Primary |
Addresses
Primary practice location
130 Pablo St
Lakeland, FL 33803-3818
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpatel49516@LRHS.direct-ci.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 284-5941
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 48 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07412400 | NJ | MD | Cardiovascular Disease Physician |
| ME141240 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Mainland Heart Consultants | Cardiovascular Disease | Past | Accepting new patients |
| Physicians Unity | Past | Accepting new patients | |
| Acadian Physician Practices LLC | Past | Accepting new patients |
Locations
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
446 N Reading Rd
Ste 302
Ephrata, PA 17522
Phone (717) 721-5868
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mpatel49516@lrhs.direct-ci.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Pediatric Endocrinology
- Pediatric Endocrinology Physician
- Center Valley, PA
- NPI 1194306647
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Surgery Physician
- Eunice, LA
- NPI 1568615268
-
- Cardiovascular Disease Physician
- Galloway, NJ
- NPI 1396762050
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1679878268
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1821265422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "863-687-1100",
"fax_number": "863-630-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PABLO ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033818",
"telephone_number": "863-284-5020",
"fax_number": "863-284-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MAYURI",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA07412400",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "MD456332",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME141240",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpatel49516@LRHS.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "130 Pablo St",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338033818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.