SHAAN PATEL DO
NPI 1841827631
Internal Medicine in Duluth, GA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
3500 MCCLURE BRIDGE RD, DULUTH, GA 30096(770) 476-3636(770) 476-5845 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Sep 7, 2023, Jul 13, 2023 and 1 more (4 updates tracked since 2020).

About Shaan Patel Do NPPES

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

SHAAN PATEL DO (NPI 1841827631) is an individual internal medicine provider in Duluth, Georgia, licensed in Georgia (94786) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1841827631
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAAN PATELCredential: DO
Location Address3500 MCCLURE BRIDGE RDDuluth, GA 30096-3131
Mailing Address3500 Mcclure Bridge RdDuluth, GA 30096-3131 · (770) 476-3636 · Fax (770) 476-5845
Fax(770) 476-5845
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1841827631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 94786
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3500 MCCLURE BRIDGE RD, Duluth, GA 30096

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

Shaan Patel Do 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 ID1557784873
PECOS Enrollment IDI20231010002012
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

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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Rheumatology)
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Registered Nurse (Registered Nurse First Assistant)
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Family Medicine
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Internal Medicine (Rheumatology)
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Nurse Practitioner (Family)
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Family Medicine
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096
Internal Medicine
3500 MCCLURE BRIDGE RD
DULUTH, GA 30096

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 Shaan Patel's NPI number?

The NPI number for Shaan Patel is 1841827631. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Shaan Patel located?

Shaan Patel practices at 3500 Mcclure Bridge Rd, Duluth, GA 30096. The listed phone number is (770) 476-3636.

What is Shaan Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shaan Patel enrolled in Medicare?

Yes. Shaan 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 Shaan Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shaan 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 Shaan Patel affiliated with any hospitals?

According to CMS data, Shaan Patel is affiliated with Northeast Georgia Medical Center, Inc, Northside Hospital Gwinnett, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Shaan Patel was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.