SHAILI PATEL
NPI 1730717794
Family Medicine in Hamilton, NJ

Q: What is Shaili Patel's NPI number?

The NPI number for Shaili Patel is 1730717794. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Shaili Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaili Patel was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 March 27, 2020PECOS EnrolledAccepts Medicare Assignment

1078 WHITE HORSE AVE, HAMILTON, NJ 08610(609) 581-9100 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Oct 10, 2023, Apr 22, 2020 and 1 more (4 updates tracked since 2020).

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About Shaili Patel NPPES

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

SHAILI PATEL (NPI 1730717794) is an individual family medicine provider in Hamilton, New Jersey, licensed in New Jersey (25MA11722600) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Cooper Medical School Of Rowan University (2020).

NPPES Registry Identity

NPI1730717794

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHAILI PATEL

Location Address1078 WHITE HORSE AVEHamilton, NJ 08610-1425

Mailing Address1078 White Horse AveHamilton, NJ 08610-1425 · (609) 581-9100

Phone(609) 581-9100

Sole ProprietorNo

Medical School CMSCooper Medical School Of Rowan UniversityGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1730717794 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 NJ · 25MA11722600

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

1078 WHITE HORSE AVE, Hamilton, NJ 08610

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaili Patel 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 ID8527478510

PECOS Enrollment IDI20230328000688

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.

Medicare Billing Reassignments

Medicare enrollment records show Shaili Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mariam Maniya Internal Medicine PC

1.2 mi

Internal Medicine

1078 WHITE HORSE MERCERVILLE RD
Hamilton, NJ 08610

Reassigned Medicare billing, New Jersey enrollment
18 clinicians in this Medicare group

NPI 1720654510 (609) 581-9100

Titan Health Partners LLC

20 mi

Hematology & Oncology

629 CRANBURY RD FL 2
East Brunswick, NJ 08816

Reassigned Medicare billing, New Jersey enrollment
132 clinicians in this Medicare group

NPI 1790396281 (732) 390-7750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.

153 services82 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

71 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

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.

40 services33 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.

14 services14 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08610 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Other Providers at the Same Location NPPES 14

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

ABID SALEEM

Family Medicine