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DR. SHEETAL ANIL PATEL M.D.
NPI 1740608488
Internal Medicine - Rheumatology in Gainesville, FL

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
4343 W NEWBERRY RD, SUITE 8, GAINESVILLE, FL 32607(352) 378-5173(352) 375-2330 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sheetal Anil Patel M.d. NPPES

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

DR. SHEETAL ANIL PATEL M.D. (NPI 1740608488) is an individual rheumatology provider in Gainesville, Florida, licensed in Florida (ME139979) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740608488
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SHEETAL ANIL PATELCredential: M.D.
Location Address4343 W NEWBERRY RD, SUITE 8Gainesville, FL 32607-2824
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 416-1082 · Fax (352) 373-6144
Phone(352) 378-5173
Fax(352) 375-2330
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateAugust 9, 2019
✔ NPI 1740608488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME139979
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4343 W NEWBERRY RD, Gainesville, FL 32607
Open in Google Maps ↗

Other Identifiers 1

Medicaid103252400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc..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. Sheetal Anil 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 ID1759508385
PECOS Enrollment IDI20190709001309
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,040 services21 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.
206 services134 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
182 services136 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
35 services21 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
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.

LUCIA GWYN-WILLIAMS
Massage Therapist
4343 W NEWBERRY RD, STE #4
GAINESVILLE, FL 32607
Alachua County (352) 373-6565
MR. DENNIS RAY POLLARD PA-C
Physician Assistant
4343 W NEWBERRY RD, SUITE 10
GAINESVILLE, FL 32607
Alachua County (352) 373-2340
BEVERLY L NELSON ARNP
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 12
GAINESVILLE, FL 32607
Alachua County (352) 376-2608
KYLIE JEAN ALTMAN APRN
Nurse Practitioner (Family)
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 373-6338
KILEY J WARD APRN
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 8
GAINESVILLE, FL 32607
Alachua County (352) 378-5173
MEERA SARASWATHI NAIR MD
Obstetrics & Gynecology (Gynecology)
4343 W NEWBERRY RD, SUITE 16
GAINESVILLE, FL 32607
Alachua County (352) 331-1000
YOGI R PATEL M.D.
Hospitalist
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 224-2204
ANTJE MAREIKE FLOEGEL M.D.
Family Medicine
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 332-7770

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 Sheetal Patel's NPI number?

The NPI number for Sheetal Patel is 1740608488. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Sheetal Patel located?

Sheetal Patel practices at 4343 W Newberry Rd Suite 8, Gainesville, FL 32607. The listed phone number is (352) 378-5173.

What is Sheetal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sheetal Patel enrolled in Medicare?

Yes. Sheetal 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 Sheetal Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. list Sheetal 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 Sheetal Patel affiliated with any hospitals?

According to CMS data, Sheetal Patel is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital, Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Sheetal Patel was last updated on August 9, 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.