Individual provider Active NPI

Meet Patel

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1841621224
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2724 Issued in TN
Practice address
419 Anastasia Blvd
St Augustine, FL 32080-4508
Phone
(904) 824-8353
Fax
(904) 824-5705
NPI assigned
Dec 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2724 TN Primary

Addresses

Primary practice location

419 Anastasia Blvd
St Augustine, FL 32080-4508

Mailing address

419 Anastasia Blvd
St Augustine, FL 32080-4508
Phone (904) 824-8353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216001422 FL Practitioner - Chiropractic 0749503183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
May accept Medicare assignment
Group practices
St Augustine Physicians Associates IncGroup PAC ID 9638144934, 4 clinicians

Practice addresses (Care Compare)

905 Saint Johns Ave
Palatka, FL 32177-4649
Phone (386) 328-2710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2724TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Augustine Physicians Associates Inc Chiropractor CurrentSince Dec 3, 2014 Accepting new patients
St Augustine Physicians Associates, Inc. Chiropractor Past Accepting new patients

Locations

905 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-2710

419 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 824-8353

419 Anastasia Blvd
#A
St Augustine, FL 32080
Phone (904) 824-5705

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1841621224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "904-824-8353",
            "fax_number": "904-824-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "904-824-8353",
            "fax_number": "904-824-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEET",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.