DR. NAYANKUMAR RAMESHBHAI PATEL MD
NPI 1164675369
Hospitalist in Plant City, FL
About Dr. Nayankumar Rameshbhai Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NAYANKUMAR RAMESHBHAI PATEL MD (NPI 1164675369) is an individual hospitalist provider in Plant City, Florida, licensed in Florida (ME106355) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nayankumar Rameshbhai Patel Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nayankumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakeland, FL 33813
- Reassigned Medicare billing, Florida enrollment
- 98 clinicians in this Medicare group
Clearwater, FL 33759
- Reassigned Medicare billing, Florida enrollment
- 2,009 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Tampa, FLNor-Lea Hospital District
Critical Access Hospitals · Lovington, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANT CITY, FL 33563
PLANT CITY, FL 33563
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nayankumar Patel's NPI number?
The NPI number for Nayankumar Patel is 1164675369. It was assigned to this individual provider in the NPPES registry on October 31, 2008.
Where is Nayankumar Patel located?
Nayankumar Patel practices at 301 N Alexander St, Plant City, FL 33563. The listed phone number is (863) 816-5884.
What is Nayankumar Patel's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Nayankumar Patel enrolled in Medicare?
Yes. Nayankumar Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nayankumar Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nayankumar Patel reassigns Medicare benefits to 2 organizations: Advanced Care Hospitalists Pl (Lakeland, FL) and Baycare Medical Group, Inc. (Clearwater, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nayankumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nayankumar Patel accept?
Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Nayankumar Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nayankumar Patel affiliated with any hospitals?
According to CMS data, Nayankumar Patel is affiliated with St Josephs Hospital and Nor-Lea Hospital District.
When was this NPI record last updated?
The NPPES record for Nayankumar Patel was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Nayankumar Rameshbhai Patel, MD · NPI 1164675369
Hospitalist physician in Plant City, Florida. Individual provider, active in the CMS NPPES registry since October 31, 2008.
## Identity
- **NPI:** 1164675369 (Entity type: Individual)
- **Enumerated:** October 31, 2008
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME106355 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 N ALEXANDER ST, Plant City, FL 33563-4303
- **Phone:** (863) 816-5884
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advanced Care Hospitalists Pl (NPI 1457389587, Lakeland, FL); Baycare Medical Group, Inc. (NPI 1043269871, Clearwater, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 2, 2024
- **Other identifiers:** Medicaid 002485700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1164675369) · Data from the CMS NPPES public registry.