DR. SHETAL RAMESHCHANDRA PATEL M.D.
NPI 1518349638
Family Medicine in Fairfax, VA

Q: What is Shetal Patel's NPI number?

The NPI number for Shetal Patel is 1518349638. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Shetal Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shetal Patel was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 25, 2015PECOS Enrolled

3650 JOSEPH SIEWICK DRIVE, SUITE 400, FAIRFAX, VA 22033(703) 391-2020 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Shetal Rameshchandra Patel M.d. NPPES

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

DR. SHETAL RAMESHCHANDRA PATEL M.D. (NPI 1518349638) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0116028438) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518349638

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHETAL RAMESHCHANDRA PATELCredential: M.D.

Location Address3650 JOSEPH SIEWICK DRIVE, SUITE 400Fairfax, VA 22033

Mailing Address3650 Joseph Siewick Drive, Suite 400Fairfax, VA 22033 · (703) 391-2020

Phone(703) 391-2020

Sole ProprietorNo

Enumeration DateJune 25, 2015

✔ NPI 1518349638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0116028438

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3650 JOSEPH SIEWICK DRIVE, Fairfax, VA 22033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shetal Rameshchandra Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Shetal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC

14 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, District of Columbia enrollment
1,534 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

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

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%801 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

65%126 patients3/55-star benchmark: 88%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

49%45 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%45 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

69%45 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

47%45 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$35.92 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier12 claims12 services$36.23 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$14.51 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers15 claims15 services$194.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. MARC A CHILDRESS M.D.

Family Medicine

3650 JOSEPH SIEWICK DRIVE, SUITE 400
FAIRFAX, VA 22033

Fairfax County (703) 391-2020

DR. FRANCIS G O'CONNOR MD

Family Medicine

3650 JOSEPH SIEWICK DRIVE, SUITE 400, FAIRFAX FAMILY PRACTICE CENTERS, P.C.
FAIRFAX, VA 22033

Fairfax County (703) 391-2040

DR. KATHRYN WILSON HARE MD

Family Medicine

3650 JOSEPH SIEWICK DRIVE, SUITE 400
FAIRFAX, VA 22033

Fairfax County (703) 391-2020

FAIRFAX FAMILY PRACTICE CENTERS PC

Family Medicine

3650 JOSEPH SIEWICK DRIVE, SUITE 400
FAIRFAX, VA 22033

Fairfax County (703) 391-2020

AMY Y NOBU MD

Family Medicine

3650 JOSEPH SIEWICK DRIVE, SUITE 400
FAIRFAX, VA 22033

Fairfax County (703) 391-2020

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 Shetal Patel's NPI number?

The NPI number for Shetal Patel is 1518349638. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Shetal Patel located?

Shetal Patel practices at 3650 Joseph Siewick Drive Suite 400, Fairfax, VA 22033. The listed phone number is (703) 391-2020.

What is Shetal Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shetal Patel enrolled in Medicare?

Yes. Shetal Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shetal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shetal Patel reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The 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 Shetal Patel'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 Shetal Patel was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.