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DR. SHEYLAN PATEL M.D.
NPI 1528487022
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since April 11, 2014PECOS EnrolledAccepts Medicare Assignment
625 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4328 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Oct 28, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Sheylan Patel M.d. NPPES

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

DR. SHEYLAN PATEL M.D. (NPI 1528487022) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in North Carolina (2020-00256) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Florida College Of Medicine (2014).

NPPES Registry Identity

NPI1528487022
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHEYLAN PATELCredential: M.D.
Location Address625 19TH ST SBirmingham, AL 35249-3003
Mailing Address3480 Wake Forest Rd, Ste 414Raleigh, NC 27609-7376 · (205) 934-4328
Phone(205) 934-4328
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2014
Enumeration DateApril 11, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1528487022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NC · 2020-00256
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 19TH ST S, Birmingham, AL 35249
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Dr. Sheylan Patel 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 ID2163649229
PECOS Enrollment IDI20201030000921
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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services23 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
23 services21 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services13 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.
22 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers35 claims35 services$6.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$78.47 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
8 suppliers19 claims4,429 services$0.03 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims110,250 services$0.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
9 suppliers24 claims24 services$26.02 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 20

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

JAMES MCPHAIL MD
Internal Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-2490
SUNIL RANGARAJAN M.D
Internal Medicine (Medical Oncology)
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-9666
DR. MAHTAB FAKHARI MD
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4060
CRISTINA I CORREA CRNP
Nurse Practitioner (Gerontology)
625 19TH ST S, JT 807
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4696
YEN CHAU M.D.
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-6525
MR. TYLER WILSON CLEMMENSEN
Pathology (Anatomic Pathology)
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-4303
MAUDE CREPAULT
Emergency Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 934-3640
ALYSSA K. POLSON MD
Personal Emergency Response Attendant
625 19TH ST S
BIRMINGHAM, AL 35249
Jefferson County (205) 975-7387

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 Sheylan Patel's NPI number?

The NPI number for Sheylan Patel is 1528487022. It was assigned to this individual provider in the NPPES registry on April 11, 2014.

Where is Sheylan Patel located?

Sheylan Patel practices at 625 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4328.

What is Sheylan Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sheylan Patel enrolled in Medicare?

Yes. Sheylan 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.

What insurance does Sheylan Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Sheylan 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.

Is Sheylan Patel affiliated with any hospitals?

According to CMS data, Sheylan Patel is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Sheylan Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.