DR. SHASHANK CHANDULAL PATEL MD
NPI 1598716995
Internal Medicine - Pulmonary Disease in Norcross, GA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
5245 BUFORD HWY, NORCROSS, GA 30071(770) 447-5551(770) 447-9521 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shashank Chandulal Patel Md NPPES

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

DR. SHASHANK CHANDULAL PATEL MD (NPI 1598716995) is an individual pulmonary disease provider in Norcross, Georgia, licensed in Georgia (29510) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Higgins General Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1598716995
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHASHANK CHANDULAL PATELCredential: MD
Location Address5245 BUFORD HWYNorcross, GA 30071-2621
Mailing Address5245 Buford HwyNorcross, GA 30071-2621 · (770) 447-5551 · Fax (770) 447-9521
Fax(770) 447-9521
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 8, 2023
NPPES CertifiedMay 8, 2023
NPI 1598716995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in GA · 29510 Licensed in AL · 12628
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.
5245 BUFORD HWY, Norcross, GA 30071

Other Identifiers 1

Medicaid136983098CGA

Accepted 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. Shashank Chandulal 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 ID1456317031
PECOS Enrollment IDI20100329000965
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services45 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services23 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30071 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
4%26 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 6

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

Physical Therapist (Orthopedic)
5245 BUFORD HWY, STE 103/104
NORCROSS, GA 30071
Family Medicine
5245 BUFORD HWY
NORCROSS, GA 30071
Nurse Practitioner (Family)
5245 BUFORD HWY, SUITE 106
PEACHTREE CORNERS, GA 30071
Durable Medical Equipment & Medical Supplies
5245 BUFORD HWY, STE 105
NORCROSS, GA 30071
Physical Therapist
5245 BUFORD HWY
NORCROSS, GA 30071
Nurse Practitioner (Gerontology)
5245 BUFORD HWY
PEACHTREE CORNERS, GA 30071

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 Shashank Patel's NPI number?

The NPI number for Shashank Patel is 1598716995. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Shashank Patel located?

Shashank Patel practices at 5245 Buford Hwy, Norcross, GA 30071. The listed phone number is (770) 447-5551.

What is Shashank Patel's specialty?

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

Is Shashank Patel enrolled in Medicare?

Yes. Shashank 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 Shashank Patel accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Shashank 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 Shashank Patel affiliated with any hospitals?

According to CMS data, Shashank Patel is affiliated with Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Shashank Patel was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.