Active NPI
Praneil Patel, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME164565
- Practice address
- 8375 Dix Ellis TRL Ste 201
Jacksonville, FL 32256-8241 - Phone
- (904) 236-5884
- NPI assigned
- Jul 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 2020-03898 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 2020-03898 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | MD464041 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | ME164565 | FL | Primary |
Addresses
Primary practice location
8375 Dix Ellis TRL Ste 201
Jacksonville, FL 32256-8241
Mailing address
PO Box 63112
Charlotte, NC 28263-3112
Phone (336) 274-9617
Other practice location 1
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone (336) 274-9617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103502359 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Pittsburgh School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Lakeshore Dr
Fayetteville, NC 28305-5241
Phone (904) 399-5550
2815 Saint Regis Rd
Greensboro, NC 27408-4313
Phone (404) 662-2438
315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 433-5000
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
- HCA Florida Orange Park Hospital
- HCA Florida Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164565 | FL | MD | Diagnostic Radiology Physician |
| 2020-03898 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Neuroradiology | Current | Accepting new patients |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiology & Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Weill Cornell Imaging at New York Presbyterian | Diagnostic Radiology | Current | Accepting new patients |
| Pinnacle Health Services of North Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Weill Cornell Medical Imaging | Neuroradiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Neuroradiology | Current | Accepting new patients |
| Medical Imaging of Lehigh Valley PC | Diagnostic Radiology | Current | Accepting new patients |
| Imrad of Virginia PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Northside Radiology Associates LLC | Neuroradiology | Current | Accepting new patients |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1200 N Elm St
Fl 5
Greensboro, NC 27401
Phone (336) 832-5700
315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
301 E Wendover Ave
Ste 100
Greensboro, NC 27401
Phone (336) 370-1100
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
520 E 70th St
New York, NY 10021
Phone (212) 746-0838
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550
Interoperability endpoints
- ppatel3007501@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1265469795
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1821035999
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
NC, Neuroradiology
-
- Diagnostic Radiology Physician
- Allentown, PA
- NPI 1134178023
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1447430152
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1538109269
Neuroradiology
-
- Radiology Clinic/Center
- Raleigh, NC
- NPI 1457300089
Diagnostic Radiology
-
- Radiology Clinic/Center
- Clayton, NC
- NPI 1548454127
Diagnostic Radiology
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1851603005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63112",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633112",
"telephone_number": "336-274-9617",
"fax_number": "336-482-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8375 DIX ELLIS TRL STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568241",
"telephone_number": "904-236-5884"
}
],
"practiceLocations": [
{
"address_1": "1331 N Elm St Ste 200",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274016304",
"country_code": "US",
"telephone_number": "336-274-9617",
"fax_number": "336-482-2177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRANEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-03",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "2020-03898",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2020-03898",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD464041",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME164565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103502359",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.