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

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: August 16, 2026.

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

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
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

Other Identifiers 4

Medicare UPINI37951FL
OtherP00669482FL · Rr Medicare
Medicare PINU5509YFL
Medicaid2738198-00FL

Accepted 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. 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.

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.

Nurse Practitioner
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Nurse Practitioner (Acute Care)
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Radiology (Diagnostic Radiology)
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Surgery (Vascular Surgery)
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Nurse Practitioner
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Internal Medicine
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Nurse Practitioner (Family)
38135 MARKET SQ
ZEPHYRHILLS, FL 33542
Nurse Practitioner
38135 MARKET SQ
ZEPHYRHILLS, FL 33542

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 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.

Where is Pankaj Patel located?

Pankaj Patel practices at 38135 Market Sq, Zephyrhills, FL 33542. The listed phone number is (813) 780-2155.

What is Pankaj Patel's specialty?

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

Is Pankaj Patel enrolled in Medicare?

Yes. Pankaj 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 Pankaj Patel accept?

Health plans from Molina Healthcare list Pankaj 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 Pankaj Patel affiliated with any hospitals?

According to CMS data, Pankaj Patel is affiliated with Florida Hospital Zephyrhills, Adventhealth Tampa and Adventhealth Dade City.

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.