Individual provider Active NPI

Pragnesh H Patel, MD

  • Allergy & Immunology Physician
  • Altamonte Springs, FL
National Provider Identifier
1912973033
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
70958 Issued in FL
Practice address
661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701-5105
Phone
(407) 339-3002
Fax
(407) 260-5039
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 70958 FL Primary
Pediatric Allergy/Immunology Physician 2080P0201X 70958 FL

Addresses

Primary practice location

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701-5105

Mailing address

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701-5105
Phone (407) 339-3002

Other identifiers 1

IdentifierTypeStateIssuer
251420600MedicaidFL

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
I20100928000462 FL Practitioner - Allergy/Immunology 4688790694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Specialists PAGroup PAC ID 9537121645, 4 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5103
Phone (407) 339-3002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70958FLMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Specialists, PA CurrentSince Oct 15, 1996 Accepting new patients

Locations

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701
Phone (407) 339-3002

3111 Citrus Tower Blvd
Ste A
Clermont, FL 34711
Phone (352) 243-6767

3111 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 242-9600

1142 Kelton Ave
Ocoee, FL 34761
Phone (407) 219-3620

7758 Wallace Rd
Ste J
Orlando, FL 32819
Phone (407) 351-4328

7780 Lake Underhill Rd
Ste 110
Orlando, FL 32822

Interoperability endpoints

  • Direct secure messaging: patel.pragnesh.024.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: patel.pragnesh.027.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: patel.pragnesh.025.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: patel.pragnesh.028.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: patel.pragnesh.026.0090329@aass.meditab.direct-ci.com

Organizations & group practices 1

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 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1912973033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "STE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "STE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAGNESH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "70958",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "70958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251420600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.