1. Home
  2. Directory
  3. Florida
  4. Palm Harbor
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BIREN R. PATEL M.D.
NPI 1376579185
Internal Medicine in Palm Harbor, FL

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
83.85/100
CMS Quality Rating
34637 US HIGHWAY 19 N, PALM HARBOR, FL 34684(727) 216-0212(727) 333-6494 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Biren R. Patel M.d. NPPES

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

DR. BIREN R. PATEL M.D. (NPI 1376579185) is an individual internal medicine provider in Palm Harbor, Florida, licensed in Florida (ME85288) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1998).

NPPES Registry Identity

NPI1376579185
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BIREN R. PATELCredential: M.D.
Location Address34637 US HIGHWAY 19 NPalm Harbor, FL 34684-2152
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-0002
Phone(727) 216-0212
Fax(727) 333-6494
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1998
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1376579185 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 · ME85288
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.
34637 US HIGHWAY 19 N, Palm Harbor, FL 34684
Open in Google Maps ↗

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), Health First Commercial Plans, Inc. 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. Biren R. 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 ID446380331
PECOS Enrollment IDI20100621000443
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.

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.
505 services247 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.
59 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims42 services$6.85 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 10

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

DR. JAMES PATRICK FISCHER M.D.
Internal Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 786-1673
NICOLE QUESNETTE MORGAN PA-C
Physician Assistant (Medical)
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 216-0125
DR. ARTHUR ROY POLIN M.D.
Internal Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 786-1673
JACOB WILLIAM ALBERT MD
Family Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 216-0125
DR. CYNTHIA PATRICIA ROEVER M.D.
Internal Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 216-0125
DR. JON W BEASLEY M.D.
Family Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 216-0125
POLIN, RUTLEDGE, & FISCHER, M.D., PA
Internal Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 786-1673
DR. HUGH ALEXANDER RUTLEDGE M.D.
Internal Medicine
34637 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 786-1673

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 Biren Patel's NPI number?

The NPI number for Biren Patel is 1376579185. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Biren Patel located?

Biren Patel practices at 34637 Us Highway 19 N, Palm Harbor, FL 34684. The listed phone number is (727) 216-0212.

What is Biren Patel's specialty?

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

Is Biren Patel enrolled in Medicare?

Yes. Biren 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 Biren Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Biren 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 Biren Patel affiliated with any hospitals?

According to CMS data, Biren Patel is affiliated with Adventhealth North Pinellas, Morton Plant Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Biren Patel was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.