NPIMap

Individual provider Active NPI

Chetan Jitendra Patel, M.D.

  • Surgery Physician
  • Orlando, FL
National Provider Identifier
1992071047
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME133810 Issued in FL
Practice address
12601 Narcoossee Rd Ste 209
Orlando, FL 32832
Phone
(407) 605-3777
Fax
(321) 473-4839
NPI assigned
Mar 22, 2012
Last updated
Oct 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME133810 FL
Surgery Physician 208600000X ME133810 FL Primary

Addresses

Primary practice location

12601 Narcoossee Rd Ste 209
Orlando, FL 32832

Mailing address

12601 Narcoossee Rd Ste 209
Orlando, FL 32832-7144
Phone (407) 605-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181108001945 FL Practitioner - General Surgery 4688944978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Florida State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

12601 Narcoossee Rd
Suite 209
Orlando, FL 32832-7144
Phone (407) 605-3777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)16
Upper gastrointestinal (GI) endoscopy for acid reflux31
Removal of tissue274
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133810FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Multispecialty Group of Florida LLC Surgery CurrentSince Aug 1, 2020 Accepting new patients
Lake Nona Ophthalmology PL CurrentSince Sep 1, 2018 Accepting new patients
North Florida Surgeons, PA CurrentSince Dec 1, 2023 Accepting new patients
North Florida Surgeons, PA Surgery CurrentSince Dec 1, 2023 Accepting new patients

Locations

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

12601 Narcoossee Rd
Ste 209
Orlando, FL 32832
Phone (407) 605-3777

6718 Lake Nona Blvd
Ste 140
Orlando, FL 32827
Phone (407) 857-3937

9685 Lake Nona Village Pl
Ste 140
Orlando, FL 32827
Phone (407) 857-3937

8400 Red Bug Lake Rd
Ste 2090
Oviedo, FL 32765
Phone (407) 340-0263

1447 Medical Park Blvd
Ste 405
Wellington, FL 33414
Phone (561) 767-8342

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: chetan.patel.1@9109.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1992071047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 NARCOOSSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327144",
            "telephone_number": "407-605-3777",
            "fax_number": "321-473-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 NARCOOSSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-605-3777",
            "fax_number": "321-473-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHETAN",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME133810",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME133810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.