DR. SHEETAL PATEL MD
NPI 1003263484
Internal Medicine - Gastroenterology in Gainesville, FL

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1601 SW ARCHER RD, GAINESVILLE, FL 32608(800) 324-8387 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Nov 15, 2018, Dec 13, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Sheetal Patel Md NPPES

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

DR. SHEETAL PATEL MD (NPI 1003263484) is an individual gastroenterology provider in Gainesville, Florida, licensed in Florida (ME138013) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Mercer University School Of Medicine (2017).

NPPES Registry Identity

NPI1003263484
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHEETAL PATELCredential: MD
Location Address1601 SW ARCHER RDGainesville, FL 32608-1135
Mailing Address1601 Sw Archer RdGainesville, FL 32608-1197
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2017
Enumeration DateMay 16, 2016
Last NPPES UpdateSeptember 15, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
NPI 1003263484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME138013
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME138013 (FL)
1601 SW ARCHER RD, Gainesville, FL 32608

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. Sheetal 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 ID2769753326
PECOS Enrollment IDI20230605000831
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Internal Medicine (Hematology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Specialist/Technologist, Pathology (Histology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Pharmacist (Pharmacotherapy)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Dentist (General Practice)
1601 SW ARCHER RD, DENTAL SERVICE (160), V.A. MEDICAL CENTER
GAINESVILLE, FL 32608
Psychologist (Clinical)
1601 SW ARCHER RD, MALCOM RANDALL VAMC ;NF/SG VETERANS HEALTH SYSTEM
GAINESVILLE, FL 32608

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 Sheetal Patel's NPI number?

The NPI number for Sheetal Patel is 1003263484. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Sheetal Patel located?

Sheetal Patel practices at 1601 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (800) 324-8387.

What is Sheetal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sheetal Patel enrolled in Medicare?

Yes. Sheetal 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 Sheetal Patel accept?

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

According to CMS data, Sheetal Patel is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Sheetal Patel was last updated on September 15, 2023. 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.