DR. VISHAL CHANDUBHAI PATEL MD
NPI 1255542262
Internal Medicine in Jacksonville, FL

Q: What is Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1255542262. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Vishal Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

8833 PERIMETER PARK BLVD, STE 503, JACKSONVILLE, FL 32216(904) 687-1055(904) 687-2141 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, Aug 26, 2021, Aug 19, 2021 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Vishal Chandubhai Patel Md NPPES

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

DR. VISHAL CHANDUBHAI PATEL MD (NPI 1255542262) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME121788) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1255542262

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. VISHAL CHANDUBHAI PATELCredential: MD

Location Address8833 PERIMETER PARK BLVD, STE 503Jacksonville, FL 32216-1110

Mailing Address2220 County Road 210 West, Ste 108, Pmb 257St Johns, FL 32259-4060 · (904) 687-1055 · Fax (904) 687-2141

Phone(904) 687-1055

Fax(904) 687-2141

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateMay 24, 2007

Last NPPES UpdateJuly 10, 20234 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1255542262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME121788✔ Licensed in AL · 29685

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.

8833 PERIMETER PARK BLVD, Jacksonville, FL 32216

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Other Identifiers 2

Medicaid108669600FL

Other12314503FL · Caqh

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), Molina Healthcare 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. Vishal Chandubhai 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 ID3072656933

PECOS Enrollment IDI20150606000100

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 12

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 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.

420 services129 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

170 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

167 services161 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

161 services152 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

154 services13 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

102 services13 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

101 services14 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

98 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services37 patients

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.

75 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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.

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.

FIRST COAST RETINA CENTER PA

Ophthalmology

8833 PERIMETER PARK BLVD, SUITE 203
JACKSONVILLE, FL 32216

Duval County (904) 997-1100

DR. ADAM DAVID KOENIGSBERG MD

Ophthalmology

8833 PERIMETER PARK BLVD, # 403
JACKSONVILLE, FL 32216

Duval County (904) 996-7774

DR. DAWN CARLSON PH.D.

Psychologist

8833 PERIMETER PARK BLVD, SUTIE 1202
JACKSONVILLE, FL 32216

Duval County (904) 641-6788

KENNETH RAPPAPORT MD

Ophthalmology (Retina Specialist)

8833 PERIMETER PARK BLVD
JACKSONVILLE, FL 32216

Duval County (904) 997-1100

DR. KAY F HOLMES M.D.

Obstetrics & Gynecology (Gynecology)

8833 PERIMETER PARK BLVD, SUITE 1201
JACKSONVILLE, FL 32216

Duval County (904) 645-0251

MYOFASCIAL PAIN SOLUTIONS, INC.

Massage Therapist

8833 PERIMETER PARK BLVD, SUITE 904
JACKSONVILLE, FL 32216

Duval County (904) 928-3303

FRANK W. BOWDEN, III, MD, FACS, PA

Ophthalmology

8833 PERIMETER PARK BLVD, 402
JACKSONVILLE, FL 32216

Duval County (904) 996-7774

WOUND CARE ON WHEELS LLC

Podiatrist

8833 PERIMETER PARK BLVD, SUITE 501
JACKSONVILLE, FL 32216

Duval County (904) 642-0877

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 Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1255542262. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Vishal Patel located?

Vishal Patel practices at 8833 Perimeter Park Blvd Ste 503, Jacksonville, FL 32216. The listed phone number is (904) 687-1055.

What is Vishal Patel's specialty?

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

Is Vishal Patel enrolled in Medicare?

Yes. Vishal 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.

What insurance does Vishal Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Vishal 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 Vishal Patel affiliated with any hospitals?

According to CMS data, Vishal Patel is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.