Organization Active NPI

Gold Star Pediatrics PA

  • Pediatrics Physician
  • North Port, FL
National Provider Identifier
1881571578
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GOLD STAR PEDIATRICS PA
Practice address
3189 Bobcat Village Center Rd
North Port, FL 34288-8974
Phone
(941) 266-5629
Fax
(888) 498-4926
NPI assigned
Aug 16, 2025
Last updated
Aug 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOLD STAR PEDIATRICS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Dr. Jignesh B Patel, MDNPI 1003082280
Title
President
Phone
(941) 266-5629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary
Neonatal-Perinatal Medicine Physician 2080N0001X NU

Addresses

Primary practice location

3189 Bobcat Village Center Rd
North Port, FL 34288-8974

Mailing address

3149 Bobcat Village Center Rd
North Port, FL 34288-8974
Phone (941) 266-5629

Other names 1

  • Gold Star Pediatrics PA Other name

National Provider Directory

National Provider Directory
Tax ID family
Gold Star Pediatrics PA2 organizations share this tax ID, including this one
Part of
Gold Star Pediatrics PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3149 Bobcat Village Center Rd
North Port, FL 34288
Phone (727) 767-4741

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1881571578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888974",
            "telephone_number": "941-266-5629",
            "fax_number": "888-498-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3189 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888974",
            "telephone_number": "941-266-5629",
            "fax_number": "888-498-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR PEDIATRICS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLD STAR PEDIATRICS PA",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-266-5629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Star Pediatrics PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.