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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHEETAL PATEL MD
NPI 1124132642
Internal Medicine in Concord, NC

Active since August 19, 2006PECOS Enrolled
80 CHURCH ST NE, SUITE D, CONCORD, NC 28025(814) 598-2340(704) 970-1866 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Aug 4, 2026, Jul 17, 2026 and 5 more (8 updates tracked since 2017).

About Sheetal Patel Md NPPES

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

SHEETAL PATEL MD (NPI 1124132642) is an individual internal medicine provider in Concord, North Carolina, licensed in North Carolina (2008-01334) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1124132642
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEETAL PATELCredential: MD
Location Address80 CHURCH ST NE, SUITE DConcord, NC 28025-4757
Mailing Address112a Argus Ln # 210Mooresville, NC 28117-6977 · (814) 598-2340 · Fax (704) 970-1866
Phone(814) 598-2340
Fax(704) 970-1866
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 5, 20268 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1124132642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2008-01334✔ Licensed in MA · 222403
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036166586 (IL), 40958 (OK), 2026014202 (MO), 222403 (MA)
80 CHURCH ST NE, Concord, NC 28025
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11102 W MacArthur StShawnee, OK 74804-1743 · Phone (405) 395-5225 · Fax (405) 878-8125
Location 2210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000 · Fax (910) 904-8445
Location 31101 W Liberty StFarmington, MO 63640-1921 · Phone (573) 705-1272 · Fax (573) 705-1216
Location 44800 S Croatan HwyNags Head, NC 27959-9704 · Phone (252) 449-5700
Location 54500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220 · Fax (618) 257-6679
Location 6501 S Poplar StElizabethtown, NC 28337-9375 · Phone (910) 862-5500 · Fax (910) 862-5501

Other Identifiers 17

Other204685284MA · Uhc
Medicaid2089927MA
Other467705MA · Tufts
OtherAA90215MA · Hphc
Other510492088MA · Uhc
Other96710801MA · Network Health
MedicaidNC2340SC
Other1124132642NC · Bcbsnc
Other7469581MA · Aetna
OtherAA31602MA · Hphc
OtherJ28028MA · Bcbs
OtherJ28208MA · Blue Shield
Medicaid1124132642NC
Other96798MA · Fallon
Other1124132642MA · Bmc
Other1159352MA · Cigna
Medicaid5910135NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheetal Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911969076
PECOS Enrollment IDI20080904000708, I20180406000031, I20200323003504, I20230608002184, I20240201003039, I20240822004873, I20260212003222, I20260220002747
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 Billing Reassignments

27

Medicare enrollment records show Sheetal Patel reassigns Medicare billing to 27 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
1.9 mi
Hospice and Palliative Medicine
920 CHURCH ST N
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1891058699 (704) 512-5363
Scotland Regional Health Network
62 mi
Surgery
224 W MAIN ST
Hamlet, NC 28345
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1285907519 (910) 277-9164
Cumberland County Hospital System Inc
82 mi
Rural Health
405 S MAIN ST
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1447255328 (910) 615-5800
Fletcher Hospital Inc
92 mi
Sports Medicine
89 W MILLS ST STE A
Columbus, NC 28722
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1891523718 (North Carolina)
  • 349 clinicians in this Medicare group
NPI 1902634231 (828) 894-3718
Mission Community Anesthesiology Specialists LLC
109 mi
Gastroenterology
2695 HENDERSONVILLE RD STE 206
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 clinicians in this Medicare group
NPI 1841760238 (828) 213-1740
Bladen Healthcare, LLC
117 mi
Rural Health
16 3RD ST
Dublin, NC 28332
  • Reassigned Medicare billing, North Carolina enrollment
  • 170 clinicians in this Medicare group
NPI 1114193695 (910) 862-3528
Cannon Memorial Hospital
126 mi
Emergency Medicine
123 WG ACKER DR
Pickens, SC 29671
  • Reassigned Medicare billing, South Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1245930064 (864) 878-4791
J Arthur Dosher Memorial Hospital
172 mi
Rural Health
3009 MEDICAL PLAZA LN
Southport, NC 28461
  • Reassigned Medicare billing, North Carolina enrollment
  • 68 clinicians in this Medicare group
NPI 1326589649 (910) 457-1234
Northeast Georgia Physicians Group Inc
199 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Adventist Health System Georgia Inc
254 mi
Multi-Specialty
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 384 clinicians in this Medicare group
NPI 1699791343 (706) 602-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
121 services118 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
52 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

St Lukes Hospital

Critical Access Hospitals · Columbus, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341322
Location101 Hospital DriveColumbus, NC 28722 · Polk County
Emergency services

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 1124132642. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Sheetal Patel located?

Sheetal Patel practices at 80 Church St NE Suite D, Concord, NC 28025. The listed phone number is (814) 598-2340.

What is Sheetal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheetal Patel enrolled in Medicare?

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

Which organizations bill Medicare for Sheetal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheetal Patel reassigns Medicare benefits to 27 organizations: Carolinas Physicians Network Inc (Concord, NC), Scotland Regional Health Network (Hamlet, NC), Cumberland County Hospital System Inc (Raeford, NC), Fletcher Hospital Inc (Columbus, NC), Mission Community Anesthesiology Specialists LLC (Arden, NC) and 22 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheetal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheetal Patel accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CareSource, Cigna Healthcare, Oscar Health and Oscar Insurance Company and 2 other insurers 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 Adventhealth Gordon, Adventhealth Murray, St Lukes Hospital, J Arthur Dosher Memorial Hospital and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Sheetal Patel was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.