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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 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: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Jan 8, 2026, May 9, 2023 and 3 more (6 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 3 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 UpdateJuly 17, 20266 updates tracked since enumeration
NPPES CertifiedJuly 17, 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), 222403 (MA)
80 CHURCH ST NE, Concord, NC 28025
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11102 W MacArthur StShawnee, OK 74804-1743 · Phone (405) 395-5225 · Fax (405) 878-8125
Location 24500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220 · Fax (618) 257-6679
Location 34800 S Croatan HwyNags Head, NC 27959-9704 · Phone (252) 449-5700

Other Identifiers 17

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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
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.

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.

What insurance does Sheetal Patel accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CareSource and Medica 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 July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.