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DR. PARESH LALCHETA MD
NPI 1588910343
Internal Medicine in Jacksonville, FL

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6885 BELFORT OAKS PL, STE 230, JACKSONVILLE, FL 32216(904) 222-6176(904) 425-7857 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, May 21, 2020, Mar 3, 2017 (3 updates tracked since 2017).

About Dr. Paresh Lalcheta Md NPPES

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

DR. PARESH LALCHETA MD (NPI 1588910343) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME 113439) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1588910343
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PARESH LALCHETACredential: MD
Location Address6885 BELFORT OAKS PL, STE 230Jacksonville, FL 32216-6283
Mailing Address12620 Beach Blvd, Suite 3-155Jacksonville, FL 32246-7131 · (904) 222-6176 · Fax (904) 425-7857
Phone(904) 222-6176
Fax(904) 425-7857
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 31, 2012
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1588910343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME 113439✔ Licensed in NJ · 25MA09137600
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.
6885 BELFORT OAKS PL, Jacksonville, FL 32216
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Other Names 1

Former Name (1)Dr. Pareshkumar Prabhudas Lalcheta Md

Other Identifiers 1

Medicaid006690400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Paresh Lalcheta 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 ID2668620964
PECOS Enrollment IDI20120911000674
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 9

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.
3,269 services358 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.
755 services205 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.
306 services268 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.
128 services31 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.
49 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%35 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
87%30 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%20 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%334 patients5/55-star benchmark: 100%
e-Prescribing
100%78 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%88 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%100 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%36 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MS. KAREN VONCILLE BRYANT PA-C
Physician Assistant (Medical)
6885 BELFORT OAKS PL, SUITE 210
JACKSONVILLE, FL 32216
Duval County (904) 652-0373
FLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA
Obstetrics & Gynecology (Gynecology)
6885 BELFORT OAKS PL, SUITE 210
JACKSONVILLE, FL 32216
Duval County (904) 652-0373
MICHELLE QUINONES DEFENDINI MD
Obstetrics & Gynecology
6885 BELFORT OAKS PL, SUITE 300
JACKSONVILLE, FL 32216
Duval County (904) 296-4200

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 Paresh Lalcheta's NPI number?

The NPI number for Paresh Lalcheta is 1588910343. It was assigned to this individual provider in the NPPES registry on July 31, 2012. The provider is also known as Dr. Pareshkumar Prabhudas Lalcheta MD.

Where is Paresh Lalcheta located?

Paresh Lalcheta practices at 6885 Belfort Oaks Pl Ste 230, Jacksonville, FL 32216. The listed phone number is (904) 222-6176.

What is Paresh Lalcheta's specialty?

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

Is Paresh Lalcheta enrolled in Medicare?

Yes. Paresh Lalcheta 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 Paresh Lalcheta accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Paresh Lalcheta 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 Paresh Lalcheta affiliated with any hospitals?

According to CMS data, Paresh Lalcheta is affiliated with Baptist Health Medical Center - Jacksonville and Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paresh Lalcheta was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.