SHAILESH MANEKLAL PATEL MD
NPI 1528123072
Physical Medicine & Rehabilitation - Pain Medicine in North Charleston, SC
Active since December 26, 2006PECOS Enrolled
2880 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-5050(843) 797-3633 Get Directions Write a Review
About Shailesh Maneklal Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAILESH MANEKLAL PATEL MD (NPI 1528123072) is an individual pain medicine provider in North Charleston, South Carolina, licensed in South Carolina (29727) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1528123072
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameSHAILESH MANEKLAL PATELCredential: MD
Location Address2880 TRICOM STNorth Charleston, SC 29406-9171
Mailing Address2880 Tricom StNorth Charleston, SC 29406-9171 · (843) 797-5050 · Fax (843) 797-3633
Phone(843) 797-5050
Fax(843) 797-3633
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1528123072 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 5
★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in SC · 29727
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 29727 (SC)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 29727 (SC)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 29727 (SC)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 29727 (SC)
2880 TRICOM ST, North Charleston, SC 29406
Other Identifiers 23
Other4271747 / 1572888SC · Coventry Networks Provider No. & Cpd Id No.
Other42D2000692SC · Arcis Healthcare Clia Certification No.
Other45168SC · Multiplan Group No.
Other56162SC · Medcost Group Payer Id
Other570634057SC · Group Tax Id
OtherP01291314SC · Railroad Medicare Ptan
Other9343063SC · Aetna Provider Id
Other965426SC · Wellcare Provider Id
OtherDE3528SC · Medicaid Dme Ptan
OtherAA2054SC · Medicare Number
OtherDE3539SC · Medicaid Dme Ptan
OtherDU4331SC · Railroad Medicare Group Ptan
Other220471SC · Medcost Provider No.
Other46-2535418SC · Arcis Healthcare Group Tin
OtherDE3537SC · Medicaid Dme Ptan
Other7623566SC · Cigna Provider Id
OtherAA20541701SC · Medicare Group
OtherD043SC · Arcis Healthcare Medicare Group Ptan
OtherDE3694SC · Medicaid Dme Ptan
OtherDE3538SC · Medicaid Dme Ptan
Other1902246077SC · Arcis Healthcare Group Npi
Other30165827SC · Select Health Provider Id
OtherGP6337SC · Arcis Healthcare Medicaid Group Ptan
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Shailesh Maneklal Patel Md 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 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
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
85%868 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
4%358 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
8%1,361 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%9,222 patients5/55-star benchmark: 100%
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%2,334 patients3/55-star benchmark: 99%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
85%131 patients4/55-star benchmark: 100%
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…
58%1,324 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%754 patients5/55-star benchmark: 100%
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.
93%2,682 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%2,392 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
20%2,932 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 2,186 patients
Patients tobacco: 25% · 151 patients
84%1,823 patients4/55-star benchmark: 98%
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%2,682 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…
93%2,682 patients5/55-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%2,682 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2880 TRICOM ST
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
Occupational Therapist (Hand)
2880 TRICOM ST, SIUTE B
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
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 Patel's NPI number?
The NPI number for Shailesh Patel is 1528123072. It was assigned to this individual provider in the NPPES registry on December 26, 2006.
Where is Shailesh Patel located?
Shailesh Patel practices at 2880 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-5050.
What is Shailesh Patel's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Shailesh Patel enrolled in Medicare?
Yes. Shailesh Patel is registered in the Medicare PECOS enrollment system.
What insurance does Shailesh Patel accept?
Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Shailesh 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 Shailesh Patel was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shailesh Maneklal Patel, MD · NPI 1528123072
Pain Medicine physician in North Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1528123072 (Entity type: Individual)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **State license:** 29727 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2880 TRICOM ST, North Charleston, SC 29406-9171
- **Phone:** (843) 797-5050 · **Fax:** (843) 797-3633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 11, 2020
- **Other identifiers:** Other 4271747 / 1572888 (SC); Other 42D2000692 (SC); Other 45168 (SC); and 20 more
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Source: [NPI Profile](https://npiprofile.com/npi/1528123072) · Data from the CMS NPPES public registry.