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

Q: 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.

Q: What is Shailesh Pathare's specialty?

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

Q: 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.

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: October 25, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Shailesh Pathare reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Spine Care And Pain Management Of New York PC

Same address

Specialist

565 JEWETT AVE
Staten Island, NY 10302

Reassigned Medicare billing, New York enrollment

NPI 1124102603 (718) 701-6010

Sathish R. Modugu Medical PC

33 mi

Pain Medicine

280 N CENTRAL AVE, SUITE 204
Hartsdale, NY 10530

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1851403935 (914) 681-9750

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 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.

Which organizations bill Medicare for Shailesh Pathare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shailesh Pathare reassigns Medicare benefits to 2 organizations: Advanced Spine Care And Pain Management Of New York PC (Staten Island, NY) and Sathish R. Modugu Medical PC (Hartsdale, NY). 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 Shailesh Pathare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.