Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHALIN HIRA PATEL M.D
NPI 1023063179
Emergency Medicine in San Jose, CA

Active since May 24, 2006PECOS Enrolled
94.62/100
CMS Quality Rating
225 N JACKSON AVE, SAN JOSE, CA 95116(408) 923-7121 Get Directions Write a Review

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

About Shalin Hira Patel M.d NPPES

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

SHALIN HIRA PATEL M.D (NPI 1023063179) is an individual emergency medicine provider in San Jose, California, licensed in California (A77972) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023063179
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHALIN HIRA PATELCredential: M.D
Location Address225 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address2100 Powell St, Ste 920Emeryville, CA 94608-1826 · (510) 350-2777
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1023063179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A77972
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

225 N JACKSON AVE, San Jose, CA 95116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shalin Hira Patel M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
300 services289 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
270 services256 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
134 services132 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Internal Medicine (Critical Care Medicine)
225 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
225 N JACKSON AVE, PHARMACY DEPARTMENT
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Radiology (Diagnostic Radiology)
225 N JACKSON AVE
SAN JOSE, CA 95116

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 Shalin Patel's NPI number?

The NPI number for Shalin Patel is 1023063179. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Shalin Patel located?

Shalin Patel practices at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 923-7121.

What is Shalin Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shalin Patel enrolled in Medicare?

Yes. Shalin Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shalin Patel was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.