ANISHA KYRINA MAHENDRA PATEL (OD) – Optometrist, NPI 1467979476

ANISHA KYRINA MAHENDRA PATEL (OD) is a healthcare provider. based in Winter haven, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5413 (FL). The NPI Number for ANISHA KYRINA MAHENDRA PATEL (OD) is 1467979476

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ANISHA KYRINA MAHENDRA PATEL (OD)
NPI
1467979476
Phone
(863) 294-3504
Address
407 AVENUE K SE
Enumeration Date
30 August 2017
Last Update Date
29 April 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8634214280
Graduation Year
2017 (9 years ago)
PAC ID
1052677432
Group Practice PAC ID
8022003235
Professional Enrollment ID
I20171117002840
Address ID
FL338447840HA100XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for ANISHA KYRINA MAHENDRA PATEL (OD)

  • 407 AVENUE K SE

    WINTER HAVEN, FL 338804126

    Phone: (863) 294-3504

    Fax: (863) 294-8305

    Type: Mailing

  • 100 Patterson Rd

    Haines City, FL 338447840

    Phone: (863) 422-4429

    Fax: (863) 421-4280

    Type: Location

  • USPS Box, Court Square, Mocksville, Davie County, North Carolina, 27028, United States

    DAVIE, FL 333290370

    Phone: (954) 262-4397

    Fax: (954) 262-2269

    Type: Mailing

  • 3200, South University Drive, Davie, Broward County, Florida, 33328, United States

    DAVIE, FL 333282018

    Phone: (954) 262-4236

    Fax: (954) 262-3904

    Type: Location

  • 2800 A RIDGE WAY

    STE 100

    LAKE WALES, FL 33859

    Phone: (863) 676-2008

    Fax: (863) 294-8305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $379.

Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($229).

Total Amount

$379

General + Research + Ownership

Payments

29

Total payment records

General Amount

$379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171117002840IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system11599$0
92012Established patient problem focused exam of visual system8762$0
92083Exam of visual field with extended testing7050$0
92133Imaging of optic nerve4635$0
99212Established patient office or other outpatient visit, 10-19 minutes4438$0
View full utilization report →

Insurance plans in this area (ZIP 33880)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022003235View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Is ANISHA KYRINA MAHENDRA PATEL (OD) listed with a National Provider Identifier?
Yes — ANISHA KYRINA MAHENDRA PATEL (OD) has NPI 1467979476 on file in the registry.
Active or inactive — what applies to ANISHA KYRINA MAHENDRA PATEL (OD)?
You should see ANISHA KYRINA MAHENDRA PATEL (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for ANISHA KYRINA MAHENDRA PATEL (OD)?
At a glance, ANISHA KYRINA MAHENDRA PATEL (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with ANISHA KYRINA MAHENDRA PATEL (OD)?
Directory geography for ANISHA KYRINA MAHENDRA PATEL (OD) centers on Winter Haven, Florida.
When was this NPI issued?
Enumeration for ANISHA KYRINA MAHENDRA PATEL (OD) is noted as August 30, 2017 where the registry provides it.

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