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DR. AJAY PATEL MD
NPI 1508110446
Internal Medicine in Wesley Chapel, FL

Active since October 30, 2012PECOS EnrolledAccepts Medicare Assignment
2352 BRUCE B DOWNS BLVD STE 301, WESLEY CHAPEL, FL 33544(813) 528-4898(813) 377-1004 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2023, Oct 3, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Ajay Patel Md NPPES

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

DR. AJAY PATEL MD (NPI 1508110446) is an individual internal medicine provider in Wesley Chapel, Florida, licensed in Florida (ME124763) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1508110446
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AJAY PATELCredential: MD
Location Address2352 BRUCE B DOWNS BLVD STE 301Wesley Chapel, FL 33544-9203
Mailing Address38135 Market Square DrZephyrhills, FL 33542-7505 · (352) 567-0188 · Fax (813) 355-5101
Phone(813) 528-4898
Fax(813) 377-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 30, 2012
Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1508110446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME124763
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.
Also ListedHospitalistTaxonomy 208M00000X · License ME124763 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2352 BRUCE B DOWNS BLVD STE 301, Wesley Chapel, FL 33544
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Other Identifiers 1

Medicaid015714300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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. Ajay 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 ID8527377977
PECOS Enrollment IDI20151026001010
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

3

Medicare enrollment records show Ajay Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Clinic LLC
15 mi
Clinic/Center
38135 MARKET SQUARE
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 451 clinicians in this Medicare group
NPI 1821055690 (813) 780-8440
Ohi West Medical Group II LLC
15 mi
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group
NPI 1982381299 (813) 780-8774
Baycare Medical Group, Inc.
23 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

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

Areas of Expertise CMS Part B claims 7

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.
93 services58 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.
85 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services24 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.
24 services24 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

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 33544 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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims21 services$61.00 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 5

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

FLORIDA MEDICAL CLINIC, LLC
Clinic/Center (Multi-Specialty)
2352 BRUCE B DOWNS BLVD STE 301
WESLEY CHAPEL, FL 33544
Pasco County (813) 991-7416
ALYSSA RUTH ZWARYCH MD
Internal Medicine
2352 BRUCE B DOWNS BLVD STE 301
WESLEY CHAPEL, FL 33544
Pasco County (813) 528-4898
VERONICA C DAVIS DO
Internal Medicine
2352 BRUCE B DOWNS BLVD STE 301
WESLEY CHAPEL, FL 33544
Pasco County (813) 528-4898
SASHA MARIE MADDEN ARNP, NP-C
Nurse Practitioner (Family)
2352 BRUCE B DOWNS BLVD STE 301
WESLEY CHAPEL, FL 33544
Pasco County (813) 528-4898
ALLISON B HULL DO
Internal Medicine
2352 BRUCE B DOWNS BLVD STE 301
WESLEY CHAPEL, FL 33544
Pasco County (813) 528-4898

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 Ajay Patel's NPI number?

The NPI number for Ajay Patel is 1508110446. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Ajay Patel located?

Ajay Patel practices at 2352 Bruce B Downs Blvd Ste 301, Wesley Chapel, FL 33544. The listed phone number is (813) 528-4898.

What is Ajay Patel's specialty?

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

Is Ajay Patel enrolled in Medicare?

Yes. Ajay 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 Ajay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Patel reassigns Medicare benefits to 3 organizations: Florida Medical Clinic LLC (Zephyrhills, FL), Ohi West Medical Group II LLC (Zephyrhills, FL) and Baycare Medical Group, Inc. (Clearwater, FL). 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 Ajay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Patel accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ajay 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 Ajay Patel affiliated with any hospitals?

According to CMS data, Ajay Patel is affiliated with Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Ajay Patel was last updated on October 12, 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.