DR. TINA SHANTUBHAI PATEL O.D.
NPI 1174702294
Optometrist in Los Angeles, CA
About Dr. Tina Shantubhai Patel O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TINA SHANTUBHAI PATEL O.D. (NPI 1174702294) is an individual optometrist in Los Angeles, California, licensed in California (OPT 13275 T) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tina Shantubhai Patel O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Tina Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90012
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tina Patel's NPI number?
The NPI number for Tina Patel is 1174702294. It was assigned to this individual provider in the NPPES registry on October 25, 2007.
Where is Tina Patel located?
Tina Patel practices at 631 N Broadway, Los Angeles, CA 90012. The listed phone number is (213) 680-0404.
What is Tina Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tina Patel enrolled in Medicare?
Yes. Tina 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.
Which organization bills Medicare for Tina Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Patel reassigns Medicare benefits to Tina S. Patel, O.D. , Professional Corporation (Los Angeles, CA). The 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 Tina Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Tina 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.
When was this NPI record last updated?
The NPPES record for Tina Patel was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Tina Shantubhai Patel, O.D. · NPI 1174702294
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 25, 2007.
## Identity
- **NPI:** 1174702294 (Entity type: Individual)
- **Enumerated:** October 25, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT 13275 T (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 631 N BROADWAY, Los Angeles, CA 90012-2801
- **Phone:** (213) 680-0404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Tina S. Patel, O.D. , Professional Corporation (NPI 1073322384, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 9, 2016
- **Other identifiers:** Medicare UPIN BA030Y (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174702294) · Data from the CMS NPPES public registry.