DR. SHEETAL M PATEL MD
NPI 1306009659
Surgery in Plano, TX
About Dr. Sheetal M Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHEETAL M PATEL MD (NPI 1306009659) is an individual surgery provider in Plano, Texas, licensed in Texas (N3977) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains a secondary practice location in Frisco.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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. Sheetal M 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Plano
Acute Care Hospitals · Plano, TXBaylor Scott & White Medical Center - Frisco
Acute Care Hospitals · Frisco, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANO, TX 75093
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 1306009659. It was assigned to this individual provider in the NPPES registry on July 8, 2008.
Where is Sheetal Patel located?
Sheetal Patel practices at 4001 W 15th St Ste 335, Plano, TX 75093. The listed phone number is (972) 596-5225.
What is Sheetal Patel's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Sheetal Patel enrolled in Medicare?
Yes. Sheetal 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.
What insurance does Sheetal Patel accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare and WellPoint 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 Medical City Plano and Baylor Scott & White Medical Center - Frisco.
When was this NPI record last updated?
The NPPES record for Sheetal Patel was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
