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DR. MAHESHKUMAR A PATEL M.D.
NPI 1396787560
Internal Medicine in Zephyrhills, FL

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
36542 SR 54, ZEPHYRHILLS, FL 33541(813) 815-9976(813) 815-9979 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 26, 2023, May 9, 2023, Mar 9, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Maheshkumar A Patel M.d. NPPES

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

DR. MAHESHKUMAR A PATEL M.D. (NPI 1396787560) is an individual internal medicine provider in Zephyrhills, Florida, licensed in Florida (ME142944) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396787560
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAHESHKUMAR A PATELCredential: M.D.
Location Address36542 SR 54Zephyrhills, FL 33541-6938
Mailing Address5400 Pinehurst DrSpring Hill, FL 34606-3833 · (352) 277-5305 · Fax (352) 616-0926
Phone(813) 815-9976
Fax(813) 815-9979
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 22, 20245 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1396787560 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 · ME142944
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.
36542 SR 54, Zephyrhills, FL 33541
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Secondary Practice Locations 3

Location 17323 Green Slope Dr Ste 104&105Zephyrhills, FL 33541-1300 · Phone (813) 788-1940 · Fax (813) 788-1937
Location 23030 Harden BlvdLakeland, FL 33803-7952 · Phone (863) 284-5000
Location 34710 S Florida AveLakeland, FL 33813-2165 · Phone (863) 284-5000

Other Identifiers 1

Medicaid105779200FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maheshkumar A 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 ID3476631342
PECOS Enrollment IDI20200207000378
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maheshkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Regional Health Systems, Inc.
20 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251
Mycare Health Center
983 mi
Federally Qualified Health Center (FQHC)
6900 E 10 MILE ROAD
Center Line, MI 48015
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1811391212 (586) 756-7777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33541 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

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

SREELATHA VARKALA MD
Internal Medicine (Nephrology)
36542 SR 54
ZEPHYRHILLS, FL 33541
Pasco County (813) 815-9976

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 Maheshkumar Patel's NPI number?

The NPI number for Maheshkumar Patel is 1396787560. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Maheshkumar Patel located?

Maheshkumar Patel practices at 36542 Sr 54, Zephyrhills, FL 33541. The listed phone number is (813) 815-9976.

What is Maheshkumar Patel's specialty?

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

Is Maheshkumar Patel enrolled in Medicare?

Yes. Maheshkumar 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.

Which organizations bill Medicare for Maheshkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maheshkumar Patel reassigns Medicare benefits to 2 organizations: Lakeland Regional Health Systems, Inc. (Lakeland, FL) and Mycare Health Center (Center Line, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maheshkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maheshkumar Patel accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Maheshkumar 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 Maheshkumar Patel affiliated with any hospitals?

According to CMS data, Maheshkumar Patel is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Maheshkumar Patel was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.