DR. SHIVRAJ RAMESH PATEL MD
NPI 1801477864
Hospitalist in Gainesville, GA
NPI Status: Active since April 20, 2021
Contact Information
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9000
- Individual
- Male
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About SHIVRAJ PATEL
This page provides the complete NPI Profile along with additional information for Shivraj Patel, a provider established in Gainesville, Georgia with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1801477864 assigned on April 2021. The practitioner's primary taxonomy code is 208M00000X with license number 101348 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1801477864
- Provider Name
- DR. SHIVRAJ RAMESH PATEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 743 SPRING ST NE GAINESVILLE, GA 30501
- Location Phone
- (770) 219-9000
- Mailing Address
- PO BOX 742616 ATLANTA, GA 30374
- Mailing Phone
- (702) 198-7217
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-20-2021
- Last Update Date
- 08-26-2024
- Code Navigator
Location Map
Secondary Locations
- 2001 W 68th St Ste 202
Hialeah, FL 33016
(305) 364-2107
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 101348
- License State
- GA
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shivraj Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.1
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $31.02
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. SHIVRAJ RAMESH PATEL MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 4 | 7 | 7 | 8 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 8 | 7 | 14 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 8 + 7 + 1 + 4 + 8 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1801477864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. GONZALO VILLALOBOS MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
LISA RENEE JUE M.D.
Hospitalist
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
JENNIFER H. WILLIAMS M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. PRESTON BALL MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. DONALD FREEMAN MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. PHILIPPE GADEGBEKU MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. ROBERT GISNESS MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. FRANKLIN DOUGLAS HARKRIDER MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. SHERRY BROCK MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. HEIDI T NICHOLSON MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
TODD JORDAN MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. GEORGE HOULDITCH MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. GARY KEMPLER MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. PAUL MERLIS MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. DAVID I LUBIN MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. MICHAEL IRA APPEL M.D.
Anesthesiology
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
DR. NANCY CHEN M.D.
Anesthesiology
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
SANDRA D PARSONS AAC
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
JASON PAUL LAURY AAC
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
MATTHEW J RAGSDALE AAC
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801477864, enumerated as an "individual" on April 20, 2021.
The provider is located at 743 SPRING ST NE GAINESVILLE, GA 30501 and the phone number is (770) 219-9000.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
