NPIMap

Individual provider Active NPI

Minesh Arun Patel, MD

  • Internal Medicine Physician
  • Lake City, FL
National Provider Identifier
1912972589
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90170 Issued in FL
Practice address
404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone
(386) 754-3627
Fax
(386) 754-3657
NPI assigned
Feb 17, 2006
Last updated
Jun 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90170 FL Primary

Addresses

Primary practice location

404 NW Hall of Fame Dr
Lake City, FL 32055-4833

Mailing address

404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone (386) 754-3627

Other identifiers 3

IdentifierTypeStateIssuer
272529100MedicaidFL
297168OtherFLAVMED
01044OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000274 FL Practitioner - Internal Medicine 8820037260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merk, IncGroup PAC ID 1951340397, 6 clinicians

Practice addresses (Care Compare)

404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Phone (386) 754-3627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.39 of 100Reported as individual
Quality
58.78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Butler Pharmacy LLC Current Accepting new patients
Merk, Inc Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

6628 NW 9th Blvd
Ste 4
Gainesville, FL 32605
Phone (352) 331-1155

404 NW Hall of Fame Dr
Lake City, FL 32055
Phone (386) 719-2540

Organizations & group practices 2

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1912972589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-754-3627",
            "fax_number": "386-754-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-754-3627",
            "fax_number": "386-754-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MINESH",
        "middle_name": "ARUN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272529100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "297168",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01044",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.