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ASHISHKUMAR PATEL MD
NPI 1770973075
Pediatrics - Pediatric Cardiology in Jacksonville, FL

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
6100 GREENLAND RD, STE 301, JACKSONVILLE, FL 32258(904) 257-6264(904) 293-1326 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2020, May 7, 2020, Dec 31, 2019 and 1 more (4 updates tracked since 2019).

About Ashishkumar Patel Md NPPES

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

ASHISHKUMAR PATEL MD (NPI 1770973075) is an individual pediatric cardiology provider in Jacksonville, Florida, licensed in Florida (ME138415) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ocala, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1770973075
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameASHISHKUMAR PATELCredential: MD
Location Address6100 GREENLAND RD, STE 301Jacksonville, FL 32258-2626
Mailing Address6100 Greenland Rd Ste 301Jacksonville, FL 32258-2626 · (904) 257-6264 · Fax (904) 293-1326
Phone(904) 257-6264
Fax(904) 293-1326
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 26, 2015
Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1770973075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in FL · ME138415
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License ME138415 (FL)
6100 GREENLAND RD, Jacksonville, FL 32258
Open in Google Maps ↗

Secondary Practice Location 1

Location 1307 SW 14th StOcala, FL 34471-6523 · Phone (407) 303-2001 · Fax (407) 303-2450

Other Identifiers 2

Medicaid102213100FL
Medicaid102515700FL

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) and more.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

Ashishkumar Patel 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 ID7315255445
PECOS Enrollment IDI20190418000592
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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

AWAKENING, INC.
Counselor (Addiction (Substance Use Disorder))
6100 GREENLAND RD, SUITE 202
JACKSONVILLE, FL 32258
Duval County (904) 733-7383
MRS. JULIE DIANE MERGL LMHC, LPC
Counselor (Mental Health)
6100 GREENLAND RD
JACKSONVILLE, FL 32258
Duval County (904) 466-1253
DR. MARY E LOMOTAN-SHAEFFER D.M.D
Dentist (General Practice)
6100 GREENLAND RD, SUITE #502
JACKSONVILLE, FL 32258
Duval County (904) 723-4407

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 Ashishkumar Patel's NPI number?

The NPI number for Ashishkumar Patel is 1770973075. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Ashishkumar Patel located?

Ashishkumar Patel practices at 6100 Greenland Rd Ste 301, Jacksonville, FL 32258. The listed phone number is (904) 257-6264.

What is Ashishkumar Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Ashishkumar Patel enrolled in Medicare?

Yes. Ashishkumar 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 Ashishkumar Patel accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 2 other insurers list Ashishkumar 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.

When was this NPI record last updated?

The NPPES record for Ashishkumar Patel was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.