SHAWN PATEL
NPI 1285374181
Family Medicine in Columbia, SC
About Shawn Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN PATEL (NPI 1285374181) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (87582) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Shawn Patel 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 Shawn Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29607
- Reassigned Medicare billing, South Carolina enrollment
- 160 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 29204 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 Shawn Patel's NPI number?
The NPI number for Shawn Patel is 1285374181. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Shawn Patel located?
Shawn Patel practices at 2220 N Beltline Blvd, Columbia, SC 29204. The listed phone number is (839) 600-9101.
What is Shawn Patel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shawn Patel enrolled in Medicare?
Yes. Shawn 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 Shawn Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Patel reassigns Medicare benefits to Prisma Health Urgent Care Of South Carolina, PC (Greenville, SC). 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 Shawn Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Patel accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Shawn 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 Shawn Patel was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Shawn Patel · NPI 1285374181
Family Medicine physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1285374181 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 87582 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2220 N BELTLINE BLVD, Columbia, SC 29204-3907
- **Phone:** (839) 600-9101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Health Urgent Care Of South Carolina, PC (NPI 1851000855, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285374181) · Data from the CMS NPPES public registry.