DR. SEEMA K PATEL MD
NPI 1235127671
Internal Medicine - Infectious Disease in Kenneth City, FL

Q: What is Seema Patel's NPI number?

The NPI number for Seema Patel is 1235127671. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Seema Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Seema Patel was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5670 54TH AVE N STE A-1, KENNETH CITY, FL 33709(727) 548-0260(727) 548-0270 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2024, Feb 17, 2021, Sep 26, 2019 and 2 more (5 updates tracked since 2017).

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About Dr. Seema K Patel Md NPPES

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

DR. SEEMA K PATEL MD (NPI 1235127671) is an individual infectious disease provider in Kenneth City, Florida, licensed in Florida (ME124536) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1235127671

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameDR. SEEMA K PATELCredential: MD

Location Address5670 54TH AVE N STE A-1Kenneth City, FL 33709-2067

Mailing Address5670 54th Ave N Ste A-1Kenneth City, FL 33709-2067 · (727) 548-0260 · Fax (727) 548-0270

Phone(727) 548-0260

Fax(727) 548-0270

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateOctober 10, 2005

Last NPPES UpdateMarch 11, 20245 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1235127671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in FL · ME124536

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

5670 54TH AVE N STE A-1, Kenneth City, FL 33709

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Secondary Practice Location 1

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1771 · Fax (321) 434-1775

Other Identifiers 2

OtherSN334FL · Medicare Hf

Medicaid120362900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Seema K 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.

PECOS PAC ID2163497967

PECOS Enrollment IDI20161114002358

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

18 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100084

Location600 E Dixie AveLeesburg, FL 34748 · Lake County

Emergency services Birthing friendly

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100290

Location1451 El Camino RealThe Villages, FL 32159 · Lake County

Emergency services

Rhea Medical Center

Critical Access Hospitals · Dayton, TN

OwnershipGovernment - Local

CMS Certification Number441310

Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33709 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.

75/100

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

Individually scored

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

80%100 patients4/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

1%99 patients1/55-star benchmark: 98%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

80%100 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

10%99 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

1%99 patients1/55-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.

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Other Providers at the Same Location NPPES 5

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

MADHURI DUGGIRALA

Internal Medicine (Infectious Disease)