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SHAILESH SURESH PATHARE M.D.
NPI 1487738829
Specialist in Staten Island, NY

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
565 JEWETT AVE, STATEN ISLAND, NY 10302(718) 701-6010(718) 447-7831 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shailesh Suresh Pathare M.d. NPPES

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

SHAILESH SURESH PATHARE M.D. (NPI 1487738829) is an individual specialist in Staten Island, New York, licensed in New York (205677-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1995).

NPPES Registry Identity

NPI1487738829
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSHAILESH SURESH PATHARECredential: M.D.
Location Address565 JEWETT AVEStaten Island, NY 10302-2654
Mailing Address565 Jewett AveStaten Island, NY 10302-2654 · (718) 701-6010 · Fax (718) 447-7831
Phone(718) 701-6010
Fax(718) 447-7831
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1995
Enumeration DateOctober 24, 2006
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1487738829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 205677-1
Definition
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.
565 JEWETT AVE, Staten Island, NY 10302
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Other Identifiers 9

Medicaid02006962NY
Other4C4399NY · Phs/healthnet
OtherP00006210NY · Railroad Medicare
Other0012J1NY · Empire Bc Bs
Other205677NY · Hip
Other173446NY · Elderplan
Other355618300NY · Us Dept Of Labor
Other8799893NY · Ghi
OtherP1883750NY · Oxford

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

Shailesh Suresh Pathare M.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 ID3678647195
PECOS Enrollment IDI20080801000098
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services20 patients

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.

ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC
Specialist
565 JEWETT AVE
STATEN ISLAND, NY 10302
Richmond County (718) 701-6010
S. PATHARE, M.D., PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
565 JEWETT AVE
STATEN ISLAND, NY 10302
Richmond County (718) 701-6010

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 Shailesh Pathare's NPI number?

The NPI number for Shailesh Pathare is 1487738829. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Shailesh Pathare located?

Shailesh Pathare practices at 565 Jewett Ave, Staten Island, NY 10302. The listed phone number is (718) 701-6010.

What is Shailesh Pathare's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shailesh Pathare enrolled in Medicare?

Yes. Shailesh Pathare 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.

When was this NPI record last updated?

The NPPES record for Shailesh Pathare was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.