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PREMALKUMAR M PATEL MD
NPI 1386259992
Internal Medicine - Infectious Disease in Miami Beach, FL

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 674-2273 Get Directions Write a Review

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

Record update history: Apr 26, 2024, Sep 10, 2020 (2 updates tracked since 2020).

About Premalkumar M Patel Md NPPES

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

PREMALKUMAR M PATEL MD (NPI 1386259992) is an individual infectious disease provider in Miami Beach, Florida, licensed in Florida (ME167706) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1386259992
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NamePREMALKUMAR M PATELCredential: MD
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address1797 Nw 4th CtPompano Beach, FL 33069-2801 · (201) 301-5320
Phone(305) 674-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 10, 2020
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1386259992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME167706
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN31945 (FL)
4300 ALTON RD, Miami Beach, FL 33140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Premalkumar M 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 ID5294277323
PECOS Enrollment IDI20240605000303
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 4

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.
273 services84 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.
165 services80 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.
79 services76 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Memorial Hospital Pembroke

Acute Care Hospitals · Pembroke Pines, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100230
Location7800 Sheridan StPembroke Pines, FL 33024 · Broward County
Emergency services

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

ROBERT SCORDATO JR. PA
Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2609
JESSICA EMILIA WAHI
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (304) 545-3095
JEAN CARLOS CORREA PHARMACIST
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
AM RYWLIN MD AND ASSOC PA
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2277
FREDERICK EMERSON HASTY IV
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2742
DR. JUSTIN DANA BURKHOLDER D.O.
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (610) 246-8011
DR. ELIAS ATRI MD
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273
ALEXIS CAMARGO DO
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273

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 Premalkumar Patel's NPI number?

The NPI number for Premalkumar Patel is 1386259992. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Premalkumar Patel located?

Premalkumar Patel practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 674-2273.

What is Premalkumar Patel's specialty?

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

Is Premalkumar Patel enrolled in Medicare?

Yes. Premalkumar 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 Premalkumar Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Premalkumar 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 Premalkumar Patel affiliated with any hospitals?

According to CMS data, Premalkumar Patel is affiliated with Memorial Regional Hospital, Memorial Hospital Pembroke and Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Premalkumar Patel was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.