Individual provider Active NPI

Niral Patel, MD

  • Internal Medicine Physician
  • Windermere, FL
National Provider Identifier
1912923079
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME106053 Issued in FL
Practice address
11600 Lakeside Village Lane
Windermere, FL 34786
Phone
(407) 876-2273
Fax
(407) 347-3950
NPI assigned
Jul 14, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-115718 IL
Internal Medicine Physician 207R00000X ME106053 FL Primary

Addresses

Primary practice location

11600 Lakeside Village Lane
Windermere, FL 34786

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 876-2273

Other practice location 1

11600 Lakeside Village Ln
Windermere, FL 34786-7024
Phone (407) 876-2273

Other identifiers 4

IdentifierTypeStateIssuer
036115718MedicaidIL
ME106053OtherFLFLORIDA LICENSE
036-115718OtherILSTATE LICENSE
M7254OtherFLFL HF MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012001145 FL Practitioner - Internal Medicine 6608870506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone (770) 312-5226

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

17323 Pagonia Rd
Clermont, FL 34711-5997
Phone (352) 995-8710

2901 Park Pond Way
Kissimmee, FL 34741-7661
Phone (770) 312-5226

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115718ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windermere Medical Center Current Accepting new patients
Central Florida Hospitalist Partners PA CurrentSince Aug 1, 2010 Accepting new patients
Privia Medical Group Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
VHS of Illinois Inc Internal Medicine Past Accepting new patients
Macneal Physicians Group LLC Internal Medicine Past Accepting new patients

Locations

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

17323 Pagonia Rd
Clermont, FL 34711
Phone (352) 995-8710

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

2901 Park Pond Way
Kissimmee, FL 34741
Phone (407) 744-9130

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

11600 Lakeside Village Ln
Windermere, FL 34786
Phone (407) 876-2273

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: niral.patel.1@8042.direct.athenahealth.com
  • Direct secure messaging: niral.patel@pmv-fl.direct.office.nextgen.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1912923079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LANE",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "34786",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 Lakeside Village Ln",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347867024",
            "country_code": "US",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-115718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115718",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME106053",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-115718",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "M7254",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.