Active NPI
Jason Eric Patel, M.D.
- Psychiatry Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME140827
- Practice address
- 1515 22ND Ave N
St Petersburg, FL 33704-3113 - Phone
- (727) 322-4227
- NPI assigned
- Jun 25, 2015
- Last updated
- Feb 7, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301107911 | MI | |
| Psychiatry Physician | 2084P0800X | ME140827 | FL | Primary |
Addresses
Primary practice location
1515 22ND Ave N
St Petersburg, FL 33704-3113
Mailing address
PO Box 13343
St Petersburg, FL 33733-3343
Phone (727) 203-5035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of South Florida College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 22ND Ave N
St Petersburg, FL 33704-3113
Phone (727) 322-4227
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140827 | FL | MD | Psychiatry Physician |
| 4301107911 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| Copper Country Community Mental Health Services | Current | Accepting new patients | |
| Affiliated Health Clinics | Current | Accepting new patients | |
| Copper Country Community Mental Health Services Board | Current | Accepting new patients |
Locations
1515 22nd Ave N
St Petersburg, FL 33704
Phone (727) 322-4227
2931 1st Ave S
St Petersburg, FL 33712
Phone (727) 344-9933
3690 W Gandy Blvd
Tampa, FL 33611
Phone (412) 477-0400
515 Quartz St
Ontonagon, MI 49953
Phone (906) 884-4804
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADGHAD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1831632900
-
- Psychiatry Physician
- St Petersburg, FL
- NPI 1033722780
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houghton, MI
- NPI 1881607497
-
- Community/Behavioral Health Agency
- Ontonagon, MI
- NPI 1780871137
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1932581055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13343",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337333343",
"telephone_number": "727-203-5035",
"fax_number": "727-205-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 22ND AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337043113",
"telephone_number": "727-322-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JASON",
"middle_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301107911",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME140827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.