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KETAN PATEL PA
NPI 1679924229
Physician Assistant - Medical in Vero Beach, FL

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1000 36TH ST, VERO BEACH, FL 32960(772) 567-4311 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 3, 2024, Aug 22, 2023, Jun 24, 2016 (3 updates tracked since 2016).

About Ketan Patel Pa NPPES

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

KETAN PATEL PA (NPI 1679924229) is an individual medical provider in Vero Beach, Florida, licensed in Florida (PA9110460) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679924229
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKETAN PATELCredential: PA
Location Address1000 36TH STVero Beach, FL 32960-4862
Mailing Address1000 36th StVero Beach, FL 32960-4862 · (772) 567-4311
Phone(772) 567-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1679924229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9110460
1000 36TH ST, Vero Beach, FL 32960
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.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

Ketan Patel Pa 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 ID5890083638
PECOS Enrollment IDI20180316000813
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 2

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.

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.
323 services311 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

MR. ROBERT MATTHEW TACK PA-C
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
DR. FARAH YOLANDA FOURCAND M.D.
Psychiatry & Neurology (Vascular Neurology)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
MR. CRAIG JOSEPH ROMERO PHYSICIAN ASSISTANT
Physician Assistant (Medical)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
CARL TACK MD
Radiology (Vascular & Interventional Radiology)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 563-4711
TRACY BEST APRN-FNP
Nurse Practitioner (Family)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
KATELIN MCGINNIS R.D
Dietitian, Registered
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
JENNY NGAN NGUYEN PA
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 567-4311
PHYSICIAN ASSISTANT SERVICES OF THE TREASURE COAST
Physician Assistant (Surgical)
1000 36TH ST
VERO BEACH, FL 32960
Indian River County (772) 713-6263

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 Ketan Patel's NPI number?

The NPI number for Ketan Patel is 1679924229. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Ketan Patel located?

Ketan Patel practices at 1000 36th St, Vero Beach, FL 32960. The listed phone number is (772) 567-4311.

What is Ketan Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ketan Patel enrolled in Medicare?

Yes. Ketan 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 Ketan Patel accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Ketan 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 Ketan Patel affiliated with any hospitals?

According to CMS data, Ketan Patel is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Ketan Patel was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.