DR. BIRENKUMAR PATEL M.D.
NPI 1679900062
Psychiatry & Neurology - Neurology in Fort Myers, FL

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment
11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, Apr 5, 2024, Jan 13, 2023 and 12 more (15 updates tracked since 2017).

About Dr. Birenkumar Patel M.d. NPPES

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

DR. BIRENKUMAR PATEL M.D. (NPI 1679900062) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME141165) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1679900062
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BIRENKUMAR PATELCredential: M.D.
Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206
Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 208-2212
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 1, 2013
Last NPPES UpdateJune 13, 202515 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1679900062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in FL · ME141165 Licensed in MT · 88904 Licensed in PA · MD472270 Licensed in TX · T4027 Licensed in NH · 20899 Licensed in WA · MD61112236
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License ME141165 (FL)
11215 METRO PKWY STE 1, Fort Myers, FL 33966

Secondary Practice Locations 6

Location 1200 3rd Ave W Ste 110Bradenton, FL 34205-8628 · Phone (941) 746-3115 · Fax (941) 746-3201
Location 2630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119
Location 31250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420
Location 4820 Saint Sebastian Way Ste 4AAugusta, GA 30901-2643 · Phone (706) 774-5995 · Fax (706) 774-5996
Location 51350 Walton Way Fl 9Augusta, GA 30901-2612 · Phone (706) 774-5795 · Fax (706) 774-5792
Location 62211 NE 139th StVancouver, WA 98686-2742 · Phone (503) 413-6166 · Fax (503) 413-4470

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. Birenkumar 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 ID547533788
PECOS Enrollment IDI20170908002747, I20191028001092, I20201014002095, I20201124001225, I20210427001616, I20210923003442, I20220121000528, I20221018002008, I20231017000632
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 5

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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
88 services88 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
68 services68 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
52 services52 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
30 services30 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Hca Florida Bayonet Point Hospital

Acute Care Hospitals · Hudson, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100256
Location14000 Fivay RdHudson, FL 34667 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%249 patients4/55-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 20

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

Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966

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 Birenkumar Patel's NPI number?

The NPI number for Birenkumar Patel is 1679900062. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Birenkumar Patel located?

Birenkumar Patel practices at 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is Birenkumar Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Birenkumar Patel enrolled in Medicare?

Yes. Birenkumar 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 Birenkumar Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AvMed, Blue Care Network of Michigan and Blue Cross Blue Shield of Arizona and 18 other insurers list Birenkumar 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 Birenkumar Patel affiliated with any hospitals?

According to CMS data, Birenkumar Patel is affiliated with Adventhealth Orlando, Naples Community Hospital, Winter Haven Hospital, Adventhealth Waterman and Hca Florida Bayonet Point Hospital.

When was this NPI record last updated?

The NPPES record for Birenkumar Patel was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.