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DR. BHANUPRASAD PATEL M.D.
NPI 1629006259
General Practice in St Petersburg, FL

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
5520 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33703(727) 526-1775 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bhanuprasad Patel M.d. NPPES

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

DR. BHANUPRASAD PATEL M.D. (NPI 1629006259) is an individual general practice provider in St Petersburg, Florida, licensed in Florida (ME0088299) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1629006259
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BHANUPRASAD PATELCredential: M.D.
Location Address5520 DR MARTIN LUTHER KING JR ST NSt Petersburg, FL 33703-1204
Mailing Address5520 Dr Martin Luther King Jr St NSt Petersburg, FL 33703-1204 · (727) 526-1775
Phone(727) 526-1775
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 30, 2012
✔ NPI 1629006259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME0088299
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5520 DR MARTIN LUTHER KING JR ST N, St Petersburg, FL 33703
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Other Identifiers 1

Medicare UPINH92640FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, 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. Bhanuprasad 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 ID1759288566
PECOS Enrollment IDI20031218000252
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.
734 services156 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.
298 services202 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
265 services181 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
182 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
127 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
81 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 6

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
3 suppliers16 claims16 services$14.86 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
5 suppliers40 claims41 services$69.79 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims15 services$30.76 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims3,367 services$0.03 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$0.13 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$21.29 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

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

BAY AREA INTERNIST INC
General Practice
5520 DR MARTIN LUTHER KING JR ST N
SAINT PETERSBURG, FL 33703
Pinellas County (727) 526-1775

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 Bhanuprasad Patel's NPI number?

The NPI number for Bhanuprasad Patel is 1629006259. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Bhanuprasad Patel located?

Bhanuprasad Patel practices at 5520 Dr Martin Luther King Jr St N, St Petersburg, FL 33703. The listed phone number is (727) 526-1775.

What is Bhanuprasad Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bhanuprasad Patel enrolled in Medicare?

Yes. Bhanuprasad 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 Bhanuprasad Patel accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Bhanuprasad 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 Bhanuprasad Patel affiliated with any hospitals?

According to CMS data, Bhanuprasad Patel is affiliated with Orlando Health Bayfront Hospital, St Anthonys Hospital, St Josephs Hospital, Hca Florida St Petersburg Hospital and Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Bhanuprasad Patel was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.