SHAILA PATEL
NPI 1740644806
Obstetrics & Gynecology in Austin, TX

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
1313 RED RIVER ST, SUITE A1, AUSTIN, TX 78701(512) 324-7036 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shaila Patel NPPES

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

SHAILA PATEL (NPI 1740644806) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (BP10055818) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1740644806
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHAILA PATEL
Location Address1313 RED RIVER ST, SUITE A1Austin, TX 78701-1943
Mailing Address1313 Red River St, Suite A1Austin, TX 78701-1943 · (512) 324-7036
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
NPI 1740644806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · BP10055818
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1313 RED RIVER ST, Austin, TX 78701

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

Shaila 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 ID6608162466
PECOS Enrollment IDI20200910003197
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 2

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, 20-29 minutes 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.
14 services11 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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

Cervical Cancer Screening
84%89 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
64%148 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%65 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%112 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 71 patients
1%71 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 20

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

Pharmacist (Pharmacotherapy)
1313 RED RIVER ST, STE 100
AUSTIN, TX 78701
Advanced Practice Midwife
1313 RED RIVER ST, SUITE 303B OB-GYN
AUSTIN, TX 78701
Pharmacist (Oncology)
1313 RED RIVER ST, 217A
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST, STE. 100
AUSTIN, TX 78701
Family Medicine
1313 RED RIVER ST, STE 100
AUSTIN, TX 78701
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1313 RED RIVER ST, SUITE 100
AUSTIN, TX 78701
Physician Assistant (Medical)
1313 RED RIVER ST, SUITE 200
AUSTIN, TX 78701
Psychologist (Clinical)
1313 RED RIVER ST, SUITE 100
AUSTIN, TX 78701

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 Shaila Patel's NPI number?

The NPI number for Shaila Patel is 1740644806. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Shaila Patel located?

Shaila Patel practices at 1313 Red River St Suite A1, Austin, TX 78701. The listed phone number is (512) 324-7036.

What is Shaila Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shaila Patel enrolled in Medicare?

Yes. Shaila 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 Shaila Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Shaila 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.

When was this NPI record last updated?

The NPPES record for Shaila Patel was last updated on April 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.