SHEILA A PATEL M.D.
NPI 1720089329
General Practice in Oceanside, CA

Q: What is Sheila Patel's NPI number?

The NPI number for Sheila Patel is 1720089329. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Q: What is Sheila Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheila Patel was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment

88.57/100

CMS Quality Rating

4002 VISTA WAY, OCEANSIDE, CA 92056(760) 814-2045 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sheila A Patel M.d. NPPES

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

SHEILA A PATEL M.D. (NPI 1720089329) is an individual general practice provider in Oceanside, California, licensed in California (A55639) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1994).

NPPES Registry Identity

NPI1720089329

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSHEILA A PATELCredential: M.D.

Location Address4002 VISTA WAYOceanside, CA 92056-4506

Mailing Address7093 Heron CirCarlsbad, CA 92011-3975 · (760) 814-2045

Phone(760) 814-2045

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1994

Enumeration DateAugust 3, 2005

Last NPPES UpdateDecember 2, 2010

✔ NPI 1720089329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A55639

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 43833 (WI)

4002 VISTA WAY, Oceanside, CA 92056

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Other Identifiers 15

Other78B99BRWI · Atrium Commercial

Medicare ID-Type Unspecified0001WI · Facility 31005

Other39092953811WI · Unity - Elroy Clinic

Other39092953816WI · Unity - Hillsboro Clinic

Medicare PINCJ495ACA

Other2104049WI · First Health

Other8918066P01WI · Cigna

Other080181679WI · Railroad Medicare

Medicare ID-Type Unspecified0068WI · Facility 00429

Medicaid34140700WI

Other13047WI · Dean Health Plan

Other2026WI · Mmsi

OtherHP67023WI · Health Partners

Other1038474WI · Physician's Plus

Medicare UPING53970

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

Sheila A 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 ID9931247475

PECOS Enrollment IDI20091103000660

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.

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.

38 services25 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.

25 services18 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.

21 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

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.

88.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

62.76

Reported Quality Measures

Advance Care Plan

87%116 patients4/55-star benchmark: 100%

Breast Cancer Screening

84%116 patients4/55-star benchmark: 93%

Cervical Cancer Screening

68%106 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

41%83 patients2/55-star benchmark: 87%

Controlling High Blood Pressure

79%85 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

21%28 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%465 patients4/55-star benchmark: 100%

e-Prescribing

98%176 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

29%125 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

42%250 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 73% · 248 patients

70%248 patients

Provide Patients Electronic Access to Their Health Information

78%110 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

57%81 patients2/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 127 patients

Patients totalRate: 7% · 136 patients

7%136 patients4/55-star benchmark: 100%

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.

MRS. LINDSAY AMADOR MARSH CRNA

Nurse Anesthetist, Certified Registered