Individual provider Active NPI

Amit A Patel, DC

  • Chiropractor
  • Merritt Island, FL
National Provider Identifier
1871697862
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8386 Issued in FL
Practice address
80 Fortenberry Rd
Merritt Island, FL 32952-3616
Phone
(321) 453-1345
Fax
(321) 453-3131
NPI assigned
Sep 11, 2006
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8386 FL Primary

Addresses

Primary practice location

80 Fortenberry Rd
Merritt Island, FL 32952-3616

Mailing address

80 Fortenberry Rd
Merritt Island, FL 32952-3616
Phone (321) 453-1345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000843 FL Practitioner - Chiropractic 7810083987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Fortenberry Rd
Merritt Island, FL 32952-3616
Phone (321) 453-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Merritt Chiropracticacupuncture PA CurrentSince Jan 1, 2003 Accepting new patients

Locations

80 Fortenberry Rd
Merritt Island, FL 32952
Phone (321) 435-1345

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1871697862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523616",
            "telephone_number": "321-453-1345",
            "fax_number": "321-453-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523616",
            "telephone_number": "321-453-1345",
            "fax_number": "321-453-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMIT",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.