Active NPI
Hetal M Patel, M.D.
- Specialist
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 114270
- Practice address
- 21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704 - Phone
- (855) 979-5700
- NPI assigned
- Nov 1, 2012
- Last updated
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 114270 | FL | Primary |
Addresses
Primary practice location
21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 114270 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Past | Accepting new patients | |
| Harbor Hospitalists LLC | Past | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
21297 Olean Blvd
#A
Pt Charlotte, FL 33952
Phone (855) 979-5700
2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- hetal.patel.1@4290.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Hospitalist Physician
- Port Charlotte, FL
- NPI 1891945903
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Englewood Hospital
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
dba HCA Florida Fawcett Hospital
- Rehabilitation Hospital Unit
- Port Charlotte, FL
- NPI 1588618367
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1851645626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21297 OLEAN BLVD STE A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526704",
"telephone_number": "855-979-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HETAL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME 114270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.