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DR. SHOBHA R PATEL M.D.
NPI 1225052897
Internal Medicine in Southampton, NY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
325 MEETING HOUSE LN, BUILDING #2, SOUTHAMPTON, NY 11968(631) 283-4048(631) 283-5396 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shobha R Patel M.d. NPPES

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

DR. SHOBHA R PATEL M.D. (NPI 1225052897) is an individual internal medicine provider in Southampton, New York, licensed in New York (203693) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1225052897
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHOBHA R PATELCredential: M.D.
Location Address325 MEETING HOUSE LN, BUILDING #2Southampton, NY 11968-5087
Mailing AddressPo Box 2340Southampton, NY 11969-2340 · (631) 283-2430 · Fax (631) 283-7496
Phone(631) 283-4048
Fax(631) 283-5396
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 30, 2011
✔ NPI 1225052897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 203693
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.
325 MEETING HOUSE LN, Southampton, NY 11968
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Other Identifiers 8

Other2539648NY · Cigna Healthcare
Other2592199NY · Ghi
Other200309210NY · Commercial
Medicare PINWGC601NY
Other161AD1NY · Empire Blue Cross Blue Sh
Medicare UPING45788NY
Medicaid01837663NY
Medicare PIN21N631NY

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. Shobha R Patel M.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.

PECOS PAC ID6002803772
PECOS Enrollment IDI20040427000182
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
568 services318 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
259 services259 patients
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.
230 services196 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
70 services69 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
68 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
54 services53 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims47 services$4.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAWRENCE J TARASUK DO
Surgery
325 MEETING HOUSE LN, BLDG 2 SUITE 403
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100
CHRISTINE BRENNAN
Physical Therapist
325 MEETING HOUSE LN, SUITE 301
SOUTHAMPTON, NY 11968
Suffolk County (631) 287-0912
DR. RICHARD J PANEBIANCO MD
Internal Medicine
325 MEETING HOUSE LN, BLDG #2 SUITE 403
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100
DR. PAUL GARSON M.D.
Psychiatry & Neurology (Psychiatry)
325 MEETING HOUSE LN, BUILDING #2
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100
DR. GARY E MANOWITZ DMD
Dentist
325 MEETING HOUSE LN, BUILDING 2
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-0352
DR. OLGA L MCABEE MD
Psychiatry & Neurology (Neurology)
325 MEETING HOUSE LN, BLDG #2 1ST SUITE 301
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-4048
DR. CHARLES V GUIDA MD
Internal Medicine
325 MEETING HOUSE LN, BLDG #2 SUITE 403
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100
DR. SAMMY G NAKHLA M.D.
Internal Medicine (Infectious Disease)
325 MEETING HOUSE LN, BLDG 2 SUITE 403
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100

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 Shobha Patel's NPI number?

The NPI number for Shobha Patel is 1225052897. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Shobha Patel located?

Shobha Patel practices at 325 Meeting House Ln Building #2, Southampton, NY 11968. The listed phone number is (631) 283-4048.

What is Shobha Patel's specialty?

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

Is Shobha Patel enrolled in Medicare?

Yes. Shobha 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.

Is Shobha Patel affiliated with any hospitals?

According to CMS data, Shobha Patel is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Shobha Patel was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.