1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Family Medicine
  6. NPI Profile

SHAIL PATEL MD
NPI 1578025300
Family Medicine in Macon, GA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
3780 EISENHOWER PKWY STE 1, MACON, GA 31206(478) 633-5500 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shail Patel Md NPPES

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

SHAIL PATEL MD (NPI 1578025300) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (11255) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578025300
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAIL PATELCredential: MD
Location Address3780 EISENHOWER PKWY STE 1Macon, GA 31206-0801
Mailing Address3780 Eisenhower Pkwy Ste 1Macon, GA 31206-0801 · (478) 633-5500
Phone(478) 633-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 1, 2019
Last NPPES UpdateJune 24, 2019
✔ NPI 1578025300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 11255
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3780 EISENHOWER PKWY STE 1, Macon, GA 31206
Open in Google Maps ↗

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

Shail Patel Md 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 ID9436484045
PECOS Enrollment IDI20220719000921
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
277 services137 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.
155 services81 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
98 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services48 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31206 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Shail Patel's NPI number?

The NPI number for Shail Patel is 1578025300. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Shail Patel located?

Shail Patel practices at 3780 Eisenhower Pkwy Ste 1, Macon, GA 31206. The listed phone number is (478) 633-5500.

What is Shail Patel's specialty?

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

Is Shail Patel enrolled in Medicare?

Yes. Shail 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.

Is Shail Patel affiliated with any hospitals?

According to CMS data, Shail Patel is affiliated with Fairview Park Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Shail Patel was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.