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Active NPI 1912923079 Individual Practitioner Male Practitioner

Dr. Niral Patel , MD

Internal Medicine • Windermere, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Niral Patel, MD is a certified Internal Medicine practicing in Windermere, FL. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Patel delivers high-quality medical care to the local community at 11600 LAKESIDE VILLAGE LANE.

Dr. Patel is affiliated with Health First Privia Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, methylprednisolone sodium succinate, 5 mg, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11600 Lakeside Village Lane

Windermere, FL 34786

Telephone 4078762273
Fax 4073473950
Associated Practice Facility / Clinic
🏢 Patel Medical Ventures Llc Facility NPI 1144668187

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Windermere, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +4.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Windermere, FL (10650 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (24 Years) 24 Yrs
Windermere Specialty Average (19.5 Years) 19.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
561 280 $255.00 $123.55
99213 Established patient office or other outpatient visit, typically 15 minutes
486 259 $180.00 $88.40
J2919 Injection, methylprednisolone sodium succinate, 5 mg
464 19 $1.00 $0.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
235 235 $257.00 $125.98
J0696 Injection, ceftriaxone sodium, per 250 mg
170 25 $2.00 $0.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
155 75 $42.00 $13.72
G0444 Annual depression screening, 5 to 15 minutes
149 149 $37.00 $17.54
87804 Detection test by immunoassay with direct visual observation for influenza virus
136 59 $34.00 $16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
110 91 $91.00 $34.62
G0008 Administration of influenza virus vaccine
84 79 $46.00 $31.66
90662 Influenza vaccine split virus, preservative free
82 77 $147.00 $79.62
81002 Urinalysis, manual test
75 60 $7.00 $3.36
J1885 Injection, ketorolac tromethamine, per 15 mg
44 11 $2.00 $0.68
94640 Inhalation treatment for airway obstruction or sputum production
44 23 $35.00 $7.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
43 40 $33.00 $16.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
40 40 $334.00 $162.00
93000 Routine ekg using at least 12 leads including interpretation and report
28 27 $33.00 $14.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
27 22 $358.19 $176.74
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg
24 23 $2.54 $1.10
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
22 21 $34.00 $16.20
J2360 Injection, orphenadrine citrate, up to 60 mg
20 18 $15.60 $8.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $225.00 $109.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
19 19 $331.00 $161.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg
18 13 $0.08 $0.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
12 12 $330.00 $161.73

Medical Specialties & State Licenses

CMS Verified: 2020-11-03
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME106053

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036-115718

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036115718 (IL)
Commercial Insurance / Payer ID State License
036-115718 (IL)
Commercial Insurance / Payer ID Florida License
ME106053 (FL)
Commercial Insurance / Payer ID Fl Hf Medicare
M7254 (FL)

Hospital & Practice Group Affiliations

Health First Privia Medical Group

17323 Pagonia Rd, Clermont, FL 347115997

Phone: 3529958710

Health First Privia Medical Group

140 6th Ave, Indialantic, FL 329033204

Phone: 3213123501

Health First Privia Medical Group

989 Sebastian Blvd, Sebastian, FL 329584879

Phone: 7276171777

Health First Privia Medical Group

2901 Park Pond Way, Kissimmee, FL 347417661

Phone: 7703125226

Health First Privia Medical Group

11600 Lakeside Village Ln, Windermere, FL 347867024

Phone: 7703125226

Secondary Practice Locations

11600 Lakeside Village Ln

Windermere, FL 347867024

Phone: 4078762273

Practice Associates & Co-Workers

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

16 Associated Practitioners
Rachelle Mercado , ARNP

Nurse Practitioner - Family

NPI 1083884878

Advanced Registered Nurse Practitioner

Stephanie Antepara

Nurse Practitioner

NPI 1235688763
Hector Rocha , ARNP

Nurse Practitioner - Family

NPI 1255873063

Advanced Registered Nurse Practitioner

Veronica Dunfee , APRN

Nurse Practitioner - Family

NPI 1265997373

Advanced Practice Registered Nurse

NPI 1346416823

Doctor of Chiropractic

NPI 1356712541

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2020

Internal Medicine (License #ME106053 in FL)

📍
Updated Business Mailing Address September 18, 2020

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 4078762273)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2020

Internal Medicine (License #036-115718 in IL)

NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2015

Registered at 11600 LAKESIDE VILLAGE LANE, WINDERMERE, FL 34786 (Tel: 4078762273)

📍
Updated Business Mailing Address January 21, 2015

Registered at 11600 LAKESIDE VILLAGE LN, WINDERMERE, FL 347867024 (Tel: 4078762273)

👤
Provider Name / Credentials Updated January 21, 2015

Recorded as NIRAL PATEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Internal Medicine (License #ME106053 in FL)

🟢
Initial NPI Registration & Enumeration July 14, 2006

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: 1912923079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: November 03, 2020
Sole Proprietor: Yes

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 4078762273

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.