Active NPI
Jyoti Patel, M.D.
- Anesthesiology Physician
- Delray Beach, FL
National Provider Identifier
1891732673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME130477
- Practice address
- 4800 Linton Blvd Ste B
Delray Beach, FL 33445-6595 - Phone
- (219) 934-5300
- NPI assigned
- Jun 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01043776 | IN | |
| Anesthesiology Physician | 207L00000X | ME130477 | FL | Primary |
Addresses
Primary practice location
4800 Linton Blvd Ste B
Delray Beach, FL 33445-6595
Mailing address
1901 Ulmerton Rd
Suite 450
Clearwater, FL 33162
Phone (727) 573-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200126520 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01043776 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter County Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Clearwater Pain Management Associates | Anesthesiology | Past | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Past | Accepting new patients |
Locations
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
814 Laporte Ave
Valparaiso, IN 46383
Phone (219) 263-4600
2206 Roosevelt Rd
Ste B
Valparaiso, IN 46383
Phone (219) 464-9507
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Valparaiso, IN
- NPI 1215974936
-
- Pain Clinic/Center
- Clearwater, FL
- NPI 1477585883
Anesthesiology
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1891732673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 ULMERTON RD",
"address_2": "SUITE 450",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33162",
"telephone_number": "727-573-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 LINTON BLVD STE B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456595",
"telephone_number": "219-934-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JYOTI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01043776",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME130477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200126520",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.