PRASHANT R PATEL MD
NPI 1336135102
Internal Medicine - Hematology & Oncology in Stuart, FL

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
501 SE OSCEOLA ST, SUITE 301, STUART, FL 34994(772) 223-5955(772) 223-5954 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prashant R Patel Md NPPES

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

PRASHANT R PATEL MD (NPI 1336135102) is an individual hematology & oncology provider in Stuart, Florida, licensed in Florida (ME0064712) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1336135102
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePRASHANT R PATELCredential: MD
Location Address501 SE OSCEOLA ST, SUITE 301Stuart, FL 34994-2301
Mailing Address501 Se Osceola St, Suite 301Stuart, FL 34994-2301 · (772) 223-5955 · Fax (772) 223-5954
Fax(772) 223-5954
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 27, 2005
Last NPPES UpdateNovember 2, 2009
NPI 1336135102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · ME0064712
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
501 SE OSCEOLA ST, Stuart, FL 34994

Other Identifiers 5

Other44230Bcbs
OtherME0064712FL · Medical License
Medicaid253700100FL
Medicare PINE0059AFL
Medicare NSC3768630001FL

Accepted 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

Prashant R 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 ID7315954575
PECOS Enrollment IDI20100809001070
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 50

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
77,250 services45 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
7,120 services18 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,160 services18 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,732 services33 patients
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
2,840 services12 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,900 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Radiology (Radiation Oncology)
501 SE OSCEOLA ST
STUART, FL 34994
Nurse Practitioner (Family)
501 SE OSCEOLA ST
STUART, FL 34994
Internal Medicine (Hematology & Oncology)
501 SE OSCEOLA ST, SUITE 201
STUART, FL 34994
Nurse Practitioner
501 SE OSCEOLA ST, STE 201
STUART, FL 34994
Nutritionist
501 SE OSCEOLA ST
STUART, FL 34994
Family Medicine (Hospice and Palliative Medicine)
501 SE OSCEOLA ST
STUART, FL 34994
Radiology (Radiation Oncology)
501 SE OSCEOLA ST, SUITE 100
STUART, FL 34994
Nurse Practitioner (Adult Health)
501 SE OSCEOLA ST
STUART, FL 34994

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 Prashant Patel's NPI number?

The NPI number for Prashant Patel is 1336135102. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Prashant Patel located?

Prashant Patel practices at 501 SE Osceola St Suite 301, Stuart, FL 34994. The listed phone number is (772) 223-5955.

What is Prashant Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Prashant Patel enrolled in Medicare?

Yes. Prashant 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 Prashant Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Prashant 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 Prashant Patel affiliated with any hospitals?

According to CMS data, Prashant Patel is affiliated with Cleveland Clinic Martin North Hospital, Hca Florida Lawnwood Hospital, Jupiter Medical Center and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Prashant Patel was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.