Active NPI
Pooja Patel, PA-C
- Physician Assistant
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117635
- Practice address
- 1541 Medical Dr
Tallahassee, FL 32308-4615 - Phone
- (850) 431-6824
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017856 | NY | |
| Physician Assistant | 363A00000X | PA9117635 | FL | Primary |
Addresses
Primary practice location
1541 Medical Dr
Tallahassee, FL 32308-4615
Mailing address
475 Enterprise Dr
Ste 202
Royersford, PA 19468-1265
Phone (610) 374-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017856 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc. | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients |
Locations
178 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
475 Enterprise Dr
Ste 202
Royersford, PA 19468
Phone (610) 674-4401
100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360
Interoperability endpoints
- poojapatel@ddal.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Emergency Care Clinic/Center
- Tallahassee, FL
- NPI 1033168893
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
- Family Medicine Physician
- Quincy, FL
- NPI 1811953128
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1982013330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 ENTERPRISE DR",
"address_2": "STE 202",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194681265",
"telephone_number": "610-374-4401",
"fax_number": "610-374-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 MEDICAL DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084615",
"telephone_number": "850-431-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "POOJA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017856",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.