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SHELJA PATEL M.D.
NPI 1598226649
Family Medicine in Stamford, CT

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
1351 WASHINGTON BLVD, STAMFORD, CT 06902(203) 621-3700 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shelja Patel M.d. NPPES

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

SHELJA PATEL M.D. (NPI 1598226649) is an individual family medicine provider in Stamford, Connecticut, licensed in Connecticut (71027) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1598226649
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELJA PATELCredential: M.D.
Location Address1351 WASHINGTON BLVDStamford, CT 06902-2419
Mailing Address1351 Washington BlvdStamford, CT 06902-2419 · (203) 621-3700
Phone(203) 621-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1598226649 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 CT · 71027
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
1351 WASHINGTON BLVD, Stamford, CT 06902
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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

Shelja 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 ID3274916739
PECOS Enrollment IDI20220816001013
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.

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.
173 services139 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.
73 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

BRIANNA ROBINSON LCSW
Social Worker (Clinical)
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 621-3700
DAISY MOJICA
Dental Hygienist
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 621-3900
MRS. RACHEL TOMSKY LCSW
Social Worker (Clinical)
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 621-3700
STAMFORD INTERNAL MEDICINE, PC
Internal Medicine
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 322-9472
DR. MARIA PRIBIS O.D.
Optometrist
1351 WASHINGTON BLVD, SUITE 101
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 327-5808
ASHLEY ANN TELESCO LCSW
Social Worker (Clinical)
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 388-1566
TANIA WARYCHA LPC
Counselor (Professional)
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 388-1659
AMY GRIMALDI LCSW
Social Worker (Clinical)
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 621-3750

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 Shelja Patel's NPI number?

The NPI number for Shelja Patel is 1598226649. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Shelja Patel located?

Shelja Patel practices at 1351 Washington Blvd, Stamford, CT 06902. The listed phone number is (203) 621-3700.

What is Shelja Patel's specialty?

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

Is Shelja Patel enrolled in Medicare?

Yes. Shelja 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.

When was this NPI record last updated?

The NPPES record for Shelja Patel was last updated on August 3, 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.