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MS. SHALINI PATEL MD
NPI 1245339514
Internal Medicine - Infectious Disease in Atlanta, GA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
2140 PEACHTREE RD NW, STE 232, ATLANTA, GA 30309(404) 231-4431(404) 231-5677 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Shalini Patel Md NPPES

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

MS. SHALINI PATEL MD (NPI 1245339514) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (052804) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2000).

NPPES Registry Identity

NPI1245339514
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMS. SHALINI PATELCredential: MD
Location Address2140 PEACHTREE RD NW, STE 232Atlanta, GA 30309-1316
Mailing Address2140 Peachtree Rd Nw, Ste 232Atlanta, GA 30309-1316 · (404) 459-0002 · Fax (404) 459-0003
Phone(404) 231-4431
Fax(404) 231-5677
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2000
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMay 11, 2016
✔ NPI 1245339514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in GA · 052804
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2140 PEACHTREE RD NW, Atlanta, GA 30309
Open in Google Maps ↗

Other Identifiers 5

OtherP00418386Mc Railroad
Medicare NSC6308610001GA
Medicare PIN11SCFGT
Medicare UPINI37342
Medicaid488697477AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, WellPoint.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

Ms. Shalini Patel Md 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 ID7517997497
PECOS Enrollment IDI20050819000742, I20231222002232, I20241107003715, I20241108003272, I20241112001862, I20241203004684, I20241209002000, I20241209002159, I20241216002674
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

2

Medicare enrollment records show Shalini Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medcura Health, Inc.
Same address
Federally Qualified Health Center (FQHC)
2140 PEACHTREE RD NW STE 232
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 108 clinicians in this Medicare group
NPI 1023537321 (404) 231-4431
East Alabama Medical Center Pec
100 mi
General Acute Care Hospital
2000 PEPPERELL PKWY
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Louisiana, Massachusetts, Montana, New Mexico, South Carolina, Tennessee, Texas and West Virginia enrollments
  • Medicare enrollment name: Access Telecare PLLC
  • Also billed through NPI 1013303080 (West Virginia)
  • 149 clinicians in this Medicare group
NPI 1811438054 (334) 749-3411

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.

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
184 services100 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
126 services120 patients
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
20 services17 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%33 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
47%64 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%99 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
32%28 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDIOLOGICAL CONSULTANTS OF ATLANTA-BUCKHEAD, INC.
Audiologist
2140 PEACHTREE RD NW, SUITE 350
ATLANTA, GA 30309
Fulton County (404) 351-4114
LONGS DRUGS OF SANDERSVILLE GEORGIA INC
Pharmacy (Community/Retail Pharmacy)
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309
Fulton County (404) 231-4431
HELENA STERN SOLODAR AU.D.
Audiologist-Hearing Aid Fitter
2140 PEACHTREE RD NW, SUITE 350
ATLANTA, GA 30309
Fulton County (404) 351-4114
MERYL HOCHDORF MILLER AU.D.
Audiologist
2140 PEACHTREE RD NW, SUITE #350
ATLANTA, GA 30309
Fulton County (404) 351-4114
DR. MONICA CARTER M.D.
Family Medicine
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309
Fulton County (678) 805-7425
AUSTIN COHEN D.C.
Chiropractor
2140 PEACHTREE RD NW, SUITE 203
ATLANTA, GA 30309
Fulton County (770) 712-6202
MRS. ANDREA RENEE JEFFERSON-SABOOR MSN, FNP-C
Nurse Practitioner (Family)
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309
Fulton County (404) 231-4431
MS. THERESA A MCGHEE PA-C
Physician Assistant (Medical)
2140 PEACHTREE RD NW, SUITE 232
ATLANTA, GA 30309
Fulton County (404) 231-4431

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 Shalini Patel's NPI number?

The NPI number for Shalini Patel is 1245339514. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Shalini Patel located?

Shalini Patel practices at 2140 Peachtree Rd NW Ste 232, Atlanta, GA 30309. The listed phone number is (404) 231-4431.

What is Shalini Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Shalini Patel enrolled in Medicare?

Yes. Shalini 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 organizations bill Medicare for Shalini Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Patel reassigns Medicare benefits to 2 organizations: Medcura Health, Inc. (Atlanta, GA) and East Alabama Medical Center Pec (Opelika, AL). 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 Shalini Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Patel accept?

Health plans from Oscar Health and WellPoint list Shalini 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 Shalini Patel was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.