DR. SHEPHALI PATEL O.D. - NPI 1376556829 - Optometrist in Sacramento, CA

Q: What is Shephali Patel's NPI number?

The NPI number for Shephali Patel is 1376556829. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Shephali Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shephali Patel was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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About Dr. Shephali Patel O.d. NPPES

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

DR. SHEPHALI PATEL O.D. (NPI 1376556829) is an individual optometrist in Sacramento, California, licensed in California (12418-T) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1376556829

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SHEPHALI PATELCredential: O.D.

Location Address5773 GREENBACK LANESacramento, CA 95841

Mailing Address11 Pixford PlSacramento, CA 95835-2014

Phone(916) 863-3143

Fax(916) 863-3148

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 15, 2006

Last NPPES UpdateSeptember 14, 2011

✔ NPI 1376556829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 12418-T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5773 GREENBACK LANE, Sacramento, CA 95841

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Other Identifiers 1

Medicare UPINU97816CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Shephali Patel O.d. 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 ID1557255833

PECOS Enrollment IDI20040209000811

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95841 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MATIN KHOSHNEVIS MD INC

Ophthalmology

5773 GREENBACK LANE
SACRAMENTO, CA 95841

Sacramento County (916) 863-3143

DR. LEWIS SACKER BLISS M.D.

Ophthalmology

5773 GREENBACK LANE
SACRAMENTO, CA 95841

Sacramento County (916) 863-3143

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 Shephali Patel's NPI number?

The NPI number for Shephali Patel is 1376556829. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Shephali Patel located?

Shephali Patel practices at 5773 Greenback Lane, Sacramento, CA 95841. The listed phone number is (916) 863-3143.

What is Shephali Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shephali Patel enrolled in Medicare?

Yes. Shephali 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 Shephali Patel accept?

Health plans from Providence Health Plan list Shephali 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 Shephali Patel was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.