MR. SHAILESH V PATEL M.D.
NPI 1316911837
Specialist in Ackerman, MS

NPI Status: Active since February 13, 2006

Contact Information

8613 MS HIGHWAY 12
ACKERMAN, MS
ZIP 39735
Phone: (662) 285-9460
Fax: (662) 285-9324

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  • Individual
  • Male
  • Specialist
  • Accepts Insurance
  • PECOS Enrolled

About SHAILESH PATEL

This page provides the complete NPI Profile along with additional information for Shailesh Patel, a provider established in Ackerman, Mississippi with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1316911837 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number 13740 (MS). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1316911837
Provider Name
MR. SHAILESH V PATEL M.D.
Gender
Male
Entity Type
Individual
Location Address
8613 MS HIGHWAY 12 ACKERMAN, MS 39735
Location Phone
(662) 285-9460
Location Fax
(662) 285-9324
Mailing Address
8613 MS HIGHWAY 12 SUITE #1 ACKERMAN, MS 39735
Mailing Phone
(662) 456-5008
Mailing Fax
(662) 285-9324
Is Sole Proprietor?
No
Enumeration Date
02-13-2006
Last Update Date
01-26-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
13740
License State
MS
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Gold Classic Standard - HMO
  • Silver Classic Standard - HMO
  • Silver Simple - HMO
  • Silver Simple Chronic Care CKM - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00112963MEDICAID (05)MS 
F73931MEDICARE UPIN (02)MS 
512I930169MEDICARE OSCAR/CERTIFICATION (06)MS 

Medicare Participation & PECOS Enrollment Status

Shailesh Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA023N)

    Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)

    1 DME suppliers used 14 Medicare Claims 462 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6212)

    1 DME suppliers used 21 Medicare Claims 270 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6231)

    1 DME suppliers used 19 Medicare Claims 330 Services Paid

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 31 Medicare Claims 31 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 20 Medicare Claims 20 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 25 times for 12 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 14 times for 11 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 132 times for 119 patients

Initial nursing facility visit per day, typically 35 minutes

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

This service was performed 11 times for 11 patients

Nursing facility discharge day management, 30 minutes or less

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

This service was performed 13 times for 12 patients

Reviews for MR. SHAILESH V PATEL M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316911837, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 1 + 2 + 8 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1316911837.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Skilled Nursing Facility
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Medicare Defined Swing Bed Unit
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Personal Emergency Response Attendant
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Medicare Defined Swing Bed Unit
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Social Worker (Clinical)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Family Medicine
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Family Medicine
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Emergency Medicine
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
General Acute Care Hospital (Critical Access)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Clinic/Center (Rural Health)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Family Medicine
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Nurse Practitioner (Family)
8613 MS HIGHWAY 12
ACKERMAN, MS 39735
Durable Medical Equipment & Medical Supplies
8613 MS HIGHWAY 12
ACKERMAN, MS 39735

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316911837, enumerated as an "individual" on February 13, 2006.

The provider is located at 8613 MS HIGHWAY 12 ACKERMAN, MS 39735 and the phone number is (662) 285-9460.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Oscar Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.