Individual provider Active NPI

Vishnu Patel, MD

  • Nephrology Physician
  • Palm Bay, FL
National Provider Identifier
1912944117
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME93611 Issued in FL
Practice address
910 Malabar Rd
Palm Bay, FL 32907-3200
Phone
(321) 435-3655
Fax
(321) 435-3652
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME93611 FL Primary

Addresses

Primary practice location

910 Malabar Rd
Palm Bay, FL 32907-3200

Mailing address

2200 W Eau Gallie Blvd
Suite 202 C
Melbourne, FL 32935-3166
Phone (321) 728-2722

Other identifiers 2

IdentifierTypeStateIssuer
P00264529OtherRAIL ROAD MEDICARE
274141500MedicaidFL

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
I20050901000239 FL Practitioner - NephrologyPractitioner - Internal Medicine 9335171164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Phone (321) 768-3655

Hospital & facility affiliations

  • FMC - Palm Bay Dialysis facility, Palm Bay, FL, CCN 682569
  • FMC - Brevard Home Therapies Dialysis facility, Melbourne, FL, CCN 682533
  • Usrc Viera Dialysis Dialysis facility, Viera, FL, CCN 682500
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Dec 1, 2021 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Dec 1, 2021 Accepting new patients
Osler Medical Inc Past Accepting new patients
NPI 1689843211 Past Accepting new patients

Locations

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

14 Suntree Pl
Ste 104
Melbourne, FL 32940
Phone (321) 768-3655

111 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 725-8919

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

450 Malabar Rd SE
Unit 102
Palm Bay, FL 32907
Phone (321) 435-3655

450 Malabar Rd SE
Palm Bay, FL 32907
Phone (321) 752-3888

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vishnu.patel.1@15644.direct.athenahealth.com

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.

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1912944117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W EAU GALLIE BLVD",
            "address_2": "SUITE 202 C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353166",
            "telephone_number": "321-728-2722",
            "fax_number": "321-435-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MALABAR RD",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073200",
            "telephone_number": "321-435-3655",
            "fax_number": "321-435-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHNU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME93611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00264529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274141500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.