Individual provider Active NPI

Praneil Patel, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1851603005
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME164565 Issued in FL
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

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103502359MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160628000945 NY Practitioner - Diagnostic Radiology 1052534898 Reassigns benefits to 2 organizations
I20180703000305 PA Practitioner - Diagnostic Radiology 1052534898 Reassigns benefits to 1 organization
I20201102000659 NC Practitioner - Diagnostic Radiology 1052534898 Reassigns benefits to 5 organizations

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
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians

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 Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164565FLMDDiagnostic Radiology Physician
2020-03898NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2016 Accepting new patients
Weill Medical College of Cornell Neuroradiology CurrentSince Jul 1, 2016 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Weill Cornell Medical Imaging Neuroradiology CurrentSince Jul 1, 2016 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Jan 27, 2023 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Jul 16, 2018 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Northside Radiology Associates LLC Neuroradiology CurrentSince Apr 14, 2024 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.