Organization Active NPI

Shreeji Interventions, PLLC

  • Vascular & Interventional Radiology Physician
  • Wesley Chapel, FL
National Provider Identifier
1942989090
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
SHREEJI INTERVENTIONS, PLLC
Practice address
2344 Crestover LN
Wesley Chapel, FL 33544-6470
Phone
(813) 563-0917
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Agam Dhiren Patel, MDNPI 1629496484
Title
Owner
Phone
(302) 602-0028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

2344 Crestover LN
Wesley Chapel, FL 33544-6470

Mailing address

2344 Crestover LN
Wesley Chapel, FL 33544-6470
Phone (302) 602-0028

Other names 1

  • Palm Endovascular Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911001585 FL Part B Supplier - Clinic/Group Practice 5799149753 Receives reassigned benefits from 2 practitioners
Practice locations: Wesley Chapel, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2313772Palm Endovascular Institute2344 Crestover LN, Wesley Chapel, FL 33544Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Locations

2344 Crestover Ln
Wesley Chapel, FL 33544
Phone (813) 563-0917

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1942989090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 CRESTOVER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446470",
            "telephone_number": "302-602-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 CRESTOVER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446470",
            "telephone_number": "813-563-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEJI INTERVENTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AGAM",
        "authorized_official_middle_name": "DHIREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-602-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Endovascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.