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DR. SHOUNUCK ISHVER PATEL DO
NPI 1356678692
Physical Medicine & Rehabilitation - Sports Medicine in Newport Beach, CA

Active since November 06, 2009Opted out of Medicare · through Aug 7, 2028
5020 CAMPUS DR STE 210, NEWPORT BEACH, CA 92660(310) 929-9790(310) 929-9791 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shounuck Ishver Patel Do NPPES

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

DR. SHOUNUCK ISHVER PATEL DO (NPI 1356678692) is an individual sports medicine provider in Newport Beach, California, licensed in California (20A13788) and active in the NPI registry since November 2009. He has opted out of Medicare through August 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356678692
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. SHOUNUCK ISHVER PATELCredential: DO
Location Address5020 CAMPUS DR STE 210Newport Beach, CA 92660-2111
Mailing Address56 StatuaryIrvine, CA 92620-3551 · (202) 277-3130
Phone(310) 929-9790
Fax(310) 929-9791
Sole ProprietorNo
Enumeration DateNovember 6, 2009
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1356678692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · 20A13788
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
5020 CAMPUS DR STE 210, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Shounuck Ishver Patel Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 7, 2026 through August 7, 2028.

Opt-Out Effective DateAugust 7, 2026
Opt-Out In Effect ThroughAugust 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

DR. KEVIN JULIUS WU DO, MBA
Family Medicine (Sports Medicine)
5020 CAMPUS DR STE 210
NEWPORT BEACH, CA 92660
Orange County (310) 929-9790

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 Shounuck Patel's NPI number?

The NPI number for Shounuck Patel is 1356678692. It was assigned to this individual provider in the NPPES registry on November 6, 2009.

Where is Shounuck Patel located?

Shounuck Patel practices at 5020 Campus Dr Ste 210, Newport Beach, CA 92660. The listed phone number is (310) 929-9790.

What is Shounuck Patel's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Shounuck Patel enrolled in Medicare?

No. Shounuck Patel has opted out of Medicare through August 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shounuck Patel was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.