DR. PANKAJ KANAIYALAL PATEL M.D.
NPI 1558311316
Hospitalist in Zephyrhills, FL

Q: What is Pankaj Patel's NPI number?

The NPI number for Pankaj Patel is 1558311316. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Pankaj Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Pankaj Patel was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment

38135 MARKET SQ, ZEPHYRHILLS, FL 33542(813) 780-2155(813) 355-5017 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2017, May 17, 2017 (2 updates tracked since 2017).

On this page

About Dr. Pankaj Kanaiyalal Patel M.d. NPPES

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

DR. PANKAJ KANAIYALAL PATEL M.D. (NPI 1558311316) is an individual hospitalist provider in Zephyrhills, Florida, licensed in Florida (ME93465) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1558311316

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. PANKAJ KANAIYALAL PATELCredential: M.D.

Location Address38135 MARKET SQZephyrhills, FL 33542-7505

Mailing Address38135 Market SqZephyrhills, FL 33542-7505 · (813) 528-4975

Phone(813) 780-2155

Fax(813) 355-5017

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMay 11, 2006

Last NPPES UpdateJuly 7, 20172 updates tracked since enumeration

✔ NPI 1558311316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME93465

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME 93465 (FL)

38135 MARKET SQ, Zephyrhills, FL 33542

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINI37951FL

OtherP00669482FL · Rr Medicare

Medicare PINU5509YFL

Medicaid2738198-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.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. Pankaj Kanaiyalal 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 ID4385675859

PECOS Enrollment IDI20050825000094

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

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

Florida Medical Clinic LLC

Same address

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

Same address

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

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 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.

330 services142 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

157 services142 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.

131 services124 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.

127 services97 patients

Hospital Affiliations CMS Care Compare 3

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100046

Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco 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

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100211

Location13100 Ft King RdDade City, FL 33525 · Pasco County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$14.62 avg. paid by Medicare

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 supplier28 claims28 services$69.04 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 20

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

AUDREY BLENDOWSKI APRN

Nurse Practitioner