Individual provider Active NPI

Sheel Jayendra Patel, MD

  • Hematology & Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1942566567
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME136305 Issued in FL
Practice address
603 7TH St S Ste 560
St Petersburg, FL 33701-4732
Phone
(727) 820-7714
Fax
(727) 202-6455
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD.207905 LA
Hematology & Oncology Physician 207RH0003X ME136305 FL Primary

Addresses

Primary practice location

603 7TH St S Ste 560
St Petersburg, FL 33701-4732

Mailing address

5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6570

Other practice location 1

6555 Cortez Rd W
Bradenton, FL 34210-2608
Phone (727) 344-6569

Other practice location 2

3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 312-4300

Other practice location 3

4114 Woodlands Pkwy Ste 301
Palm Harbor, FL 34685-3450
Phone (727) 344-6569

Other practice location 4

1258 W Bay Dr Ste G
Largo, FL 33770-2245
Phone (727) 344-6569

Other practice location 5

3000 US Highway 19
Holiday, FL 34691-2635
Phone (727) 344-6569

Other practice location 6

425 S Parsons Ave Ste 101
Brandon, FL 33511-5290
Phone (813) 278-5062

Other practice location 7

3501 Cortez Rd W
Bradenton, FL 34210-3196
Phone (727) 344-6569

Other practice location 8

401 Vonderburg Dr
Brandon, FL 33511-5963
Phone (813) 684-2339

Other practice location 9

5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6569

Other identifiers 4

IdentifierTypeStateIssuer
100218800MedicaidFL
N166UOtherFLBCBS FL
K8436OtherFLMEDICARE
KX143OtherFLMEDICARE

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
I20180906000539 FL Practitioner - Medical OncologyPractitioner - Hematology 0345546388 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207905LAMDHematology & Oncology Physician
ME136305FLMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hematology Oncology LLC Hematology & Oncology CurrentSince Jan 26, 2019 Accepting new patients
Pinellas Hematology and Oncology PA Hematology & Oncology CurrentSince Aug 8, 2018 Accepting new patients
Comprehensive Hematology Oncology LLC CurrentSince Jan 26, 2019 Accepting new patients

Locations

6555 Cortez Rd W
Bradenton, FL 34210
Phone (813) 278-5062

3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700

401 Vonderburg Dr
Brandon, FL 33511
Phone (813) 684-2339

425 S Parsons Ave
Ste 101
Brandon, FL 33511
Phone (813) 278-5062

3000 US Highway 19
Holiday, FL 34691
Phone (727) 942-7070

1258 West Bay Dr
Ste G
Largo, FL 33770
Phone (727) 935-0500

4114 Woodlands Pkwy
Ste 301
Palm Harbor, FL 34685
Phone (727) 789-2595

5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570

603 7th St S
Ste 560
St Petersburg, FL 33701
Phone (727) 820-7714

3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1942566567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 1017",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092236",
            "telephone_number": "727-344-6570",
            "fax_number": "727-384-4388"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 560",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014732",
            "telephone_number": "727-820-7714",
            "fax_number": "727-202-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102608",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
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        },
        {
            "address_1": "3611 Little Rd",
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            "state": "FL",
            "postal_code": "346551813",
            "country_code": "US",
            "telephone_number": "727-312-4300",
            "fax_number": "727-312-4335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4114 Woodlands Pkwy Ste 301",
            "address_purpose": "LOCATION",
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            "state": "FL",
            "postal_code": "346853450",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1258 W Bay Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702245",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 US Highway 19",
            "address_purpose": "LOCATION",
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            "state": "FL",
            "postal_code": "346912635",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 S Parsons Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115290",
            "country_code": "US",
            "telephone_number": "813-278-5062",
            "fax_number": "813-502-6933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103196",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115963",
            "country_code": "US",
            "telephone_number": "813-684-2339",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Park St N Ste 1017",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092236",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHEEL",
        "middle_name": "JAYENDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "MD.207905",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME136305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "N166U",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K8436",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KX143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.