DR. SHILPA J PATEL OD, MS, PHD
NPI 1407856438
Optometrist in Pell City, AL
About Dr. Shilpa J Patel Od, Ms, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHILPA J PATEL OD, MS, PHD (NPI 1407856438) is an individual optometrist in Pell City, Alabama, licensed in Alabama (S-967-TA-525) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2000).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Dr. Shilpa J Patel Od, Ms, Phd 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 Reassignments
5Medicare enrollment records show Shilpa Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pell City, AL 35128
- Reassigned Medicare billing, Alabama enrollment
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 460 clinicians in this Medicare group
Birmingham, AL 35216
- Reassigned Medicare billing, Alabama enrollment
- Medicare enrollment name: Drs Feagin, Gee And Dahl, PC
- 7 clinicians in this Medicare group
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 81 clinicians in this Medicare group
Omaha, NE 68154
- Reassigned Medicare billing, Alabama enrollment
- 10 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35128 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.
Other Providers at the Same Location NPPES 6
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 Shilpa Patel's NPI number?
The NPI number for Shilpa Patel is 1407856438. It was assigned to this individual provider in the NPPES registry on August 1, 2005. The provider is also known as Shilpa J Register Od.
Where is Shilpa Patel located?
Shilpa Patel practices at 41 Eminence Way Ste A, Pell City, AL 35128. The listed phone number is (205) 206-4518.
What is Shilpa Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Shilpa Patel enrolled in Medicare?
Yes. Shilpa 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 organizations bill Medicare for Shilpa Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Patel reassigns Medicare benefits to 5 organizations: St Clair Eye PLLC (Pell City, AL), University Of Alabama At Birmingham (Birmingham, AL), Drs. Feagin, Gee And Dahl, P.C. (Birmingham, AL), University Of Alabama Ophthalmology Services Foundation (Birmingham, AL) and Aria Eye Care, LLC (Omaha, NE). Each 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 Shilpa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shilpa Patel accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Shilpa 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 Shilpa Patel was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Shilpa J Patel, OD, MS, PHD · NPI 1407856438
Optometrist provider in Pell City, Alabama. Individual provider, active in the CMS NPPES registry since August 1, 2005.
## Identity
- **NPI:** 1407856438 (Entity type: Individual)
- **Enumerated:** August 1, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** S-967-TA-525 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 41 EMINENCE WAY STE A, Pell City, AL 35128-2338
- **Phone:** (205) 206-4518 · **Fax:** (205) 891-8131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): St Clair Eye PLLC (NPI 1366255168, Pell City, AL); University Of Alabama At Birmingham (NPI 1063576858, Birmingham, AL); Drs. Feagin, Gee And Dahl, P.C. (NPI 1104939008, Birmingham, AL); University Of Alabama Ophthalmology Services Foundation (NPI 1265485999, Birmingham, AL); Aria Eye Care, LLC (NPI 1437436599, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Alabama Birmingham - School Of Optometry, class of 2000
## Record status
- **NPPES last updated:** August 5, 2025
- **Other identifiers:** Medicaid 70092Y (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407856438) · Data from the CMS NPPES public registry.