JALPEN PATEL DPM
NPI 1619397643
Podiatrist in Orlando, FL

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
98.49/100
CMS Quality Rating
5690 WINDHOVER DR, ORLANDO, FL 32819(407) 352-5571 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Feb 3, 2025, Aug 12, 2024 and 6 more (9 updates tracked since 2016).

About Jalpen Patel Dpm NPPES

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

JALPEN PATEL DPM (NPI 1619397643) is an individual podiatrist in Orlando, Florida, licensed in Florida (PO3892) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and is a graduate of New York College Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1619397643
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJALPEN PATELCredential: DPM
Location Address5690 WINDHOVER DROrlando, FL 32819-7935
Mailing Address15815 Shaddock Dr Ste 130Winter Garden, FL 34787-5773 · (813) 400-1140 · Fax (813) 870-3569
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateMarch 10, 20259 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1619397643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in FL · PO3892
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License PO3892 (FL)
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License PO3892 (FL)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO3892 (FL)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO3892 (FL)
5690 WINDHOVER DR, Orlando, FL 32819

Other Identifiers 4

Other6969403FL · Aetna
Other00006503382013FL · Uhc
Medicaid021555100FL
OtherKK51TFL · Bcbs Fl Blue

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

Jalpen Patel Dpm 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 ID3274807706
PECOS Enrollment IDI20170922001138
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 8

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.
66 services38 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
62 services27 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
54 services27 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.
39 services39 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
37 services17 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.
29 services28 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32819 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

98.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Chiropractor
5690 WINDHOVER DR
ORLANDO, FL 32819
Podiatrist
5690 WINDHOVER DR
ORLANDO, FL 32819

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 Jalpen Patel's NPI number?

The NPI number for Jalpen Patel is 1619397643. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Jalpen Patel located?

Jalpen Patel practices at 5690 Windhover Dr, Orlando, FL 32819. The listed phone number is (407) 352-5571.

What is Jalpen Patel's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jalpen Patel enrolled in Medicare?

Yes. Jalpen 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 Jalpen Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Jalpen 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 Jalpen Patel affiliated with any hospitals?

According to CMS data, Jalpen Patel is affiliated with Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Jalpen Patel was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.