DR. MAHENDRAKUMAR A PATEL M.D.
NPI 1124178975
Internal Medicine in Arcadia, FL

Q: What is Mahendrakumar Patel's NPI number?

The NPI number for Mahendrakumar Patel is 1124178975. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Mahendrakumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

888 N ROBERT AVE, ARCADIA, FL 34266(863) 494-8401(863) 491-5306 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mahendrakumar A Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAHENDRAKUMAR A PATEL M.D. (NPI 1124178975) is an individual internal medicine provider in Arcadia, Florida, licensed in Florida (ME 47370) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Desoto Memorial Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1124178975

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MAHENDRAKUMAR A PATELCredential: M.D.

Location Address888 N ROBERT AVEArcadia, FL 34266-9580

Mailing Address700 8th Ave W, Ste 101Palmetto, FL 34221-4737 · (941) 776-4008 · Fax (941) 845-4963

Phone(863) 494-8401

Fax(863) 491-5306

Sole ProprietorYes

Medical School CMSOtherGraduated 1978

Enumeration DateJanuary 12, 2007

Last NPPES UpdateMarch 24, 2017

✔ NPI 1124178975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME 47370

Definition

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.

888 N ROBERT AVE, Arcadia, FL 34266

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Other Identifiers 4

Other51269FL · Bc & Bs

Medicare UPIND85924FL

Medicare ID-Type Unspecified51269AFL

Medicaid042518400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mahendrakumar A Patel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436149069

PECOS Enrollment IDI20040515000363

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

199 services113 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services20 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

26 services23 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

17 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100175

Location900 N Robert AveArcadia, FL 34265 · De Soto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.01

Promoting Interoperability

100

Improvement Activities

Cost

66.14

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%97 patients

Breast Cancer Screening

55%808 patients3/55-star benchmark: 93%

Cervical Cancer Screening

60%1,698 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

29%663 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

38%1,968 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

64%1,528 patients3/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

95%20 patients4/55-star benchmark: 99%

Dementia: Cognitive Assessment

50%24 patients

Diabetes: Eye Exam

43%950 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

30%950 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%11,152 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

86%626 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%4,196 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

94%3,348 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

41%6,041 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 3,371 patients

Patients screened: 99% · 3,371 patients

92%654 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

73%1,425 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 657 patients

Patients totalRate: 11% · 695 patients

13%695 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims17 services$89.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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