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Active NPI 1205323714 Individual Practitioner Male Practitioner

Dr. Niraj R Patel , MD

Internal Medicine • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Niraj Patel, MD is a certified Internal Medicine practicing in Sarasota, FL. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Patel delivers high-quality medical care to the local community at 1700 S TAMIAMI TRL.

Dr. Patel is affiliated with Smh Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 S Tamiami Trl

Sarasota, FL 342393555

Telephone 9419177799
Associated Practice Facility / Clinic
🏢 Smh Radiology Associates Pa Facility NPI 1356323331

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sarasota, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -14.6 yrs vs City Avg
City Avg: 22.6 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
240 Specialists

Practicing in Sarasota, FL (10650 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (8 Years) 8 Yrs
Sarasota Specialty Average (22.6 Years) 22.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
390 226 $213.00 $115.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
282 195 $148.00 $76.99
99239 Hospital discharge day management, more than 30 minutes
264 259 $218.00 $110.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
133 132 $415.00 $168.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
21 21 $283.00 $128.24
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
21 16 $66.43 $29.51

Medical Specialties & State Licenses

CMS Verified: 2022-05-31
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME149130

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110799500 (FL)
Commercial Insurance / Payer ID Medicare
N5196 (FL)

Hospital & Practice Group Affiliations

Smh Physician Services Inc

1700 S Tamiami Trl, Sarasota, FL 342393509

Phone: 9419177760

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Maha Hameed , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1003511171

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Francis St-Onge , MD

Student in an Organized Health Care Education/Training Program

NPI 1013833763

Doctor of Medicine (M.D.)

Samantha Bhambrah

Student in an Organized Health Care Education/Training Program

NPI 1033953955
William Corrigan

Student in an Organized Health Care Education/Training Program

NPI 1053106229
Dr. Matthew Miller , DO

Student in an Organized Health Care Education/Training Program

NPI 1124878152

Doctor of Osteopathic Medicine (D.O.)

Dr. Jordan Austin , DO

Student in an Organized Health Care Education/Training Program

NPI 1144804931

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address May 31, 2022

Registered at PO BOX 947407, ATLANTA, GA 303947407 (Tel: 9419172600)

NPI Profile Active April 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2018

Registered at 1700 S TAMIAMI TRL, SARASOTA, FL 342393555 (Tel: 9419177799)

📍
Updated Business Mailing Address April 19, 2018

Registered at 1700 S TAMIAMI TRL, SARASOTA, FL 342393555 (Tel: 9419177799)

👤
Provider Name / Credentials Updated April 19, 2018

Recorded as NIRAJ PATEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205323714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2018
Last Update: May 31, 2022
Sole Proprietor: No

Mailing Address

Po Box 947407

Atlanta, GA 303947407

Phone: 9419172600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.