SHANTI NARSIBHAI PATEL MD
NPI 1861944076
Hospitalist in New Haven, CT

Active since November 04, 2016PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
20 YORK STREET, CB-2041, MAIMONIDES MEDICAL CENTER, NEW HAVEN, CT 06510(203) 688-4748(203) 688-4740 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Jun 17, 2019, Nov 4, 2016 (3 updates tracked since 2016).

About Shanti Narsibhai Patel Md NPPES

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

SHANTI NARSIBHAI PATEL MD (NPI 1861944076) is an individual hospitalist provider in New Haven, Connecticut, licensed in Connecticut (62954) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861944076
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHANTI NARSIBHAI PATELCredential: MD
Location Address20 YORK STREET, CB-2041, MAIMONIDES MEDICAL CENTERNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4748 · Fax (203) 688-4740
Fax(203) 688-4740
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 4, 2016
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1861944076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in CT · 62954✔ Licensed in NY · 338587
Definition
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.
20 YORK STREET, CB-2041, New Haven, CT 06510

Secondary Practice Locations 3

Location 12215 Burdett AveTroy, NY 12180-2466 · Phone (518) 525-8600
Location 24802 10th Avenue, Maimonides Medical CenterBrooklyn, NY 11219 · Phone (718) 283-6000
Location 3315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-8600

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

Shanti Narsibhai Patel Md 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 ID446504534
PECOS Enrollment IDI20190816002638, I20250711002853
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

5

Medicare enrollment records show Shanti Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
Urgent Care
555 HIGH ST STE 16A
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
Internal Medicine
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
360 services122 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
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.

Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510
Internal Medicine
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510

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 Shanti Patel's NPI number?

The NPI number for Shanti Patel is 1861944076. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Shanti Patel located?

Shanti Patel practices at 20 York Street, Cb-2041 Maimonides Medical Center, New Haven, CT 06510. The listed phone number is (203) 688-4748.

What is Shanti Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shanti Patel enrolled in Medicare?

Yes. Shanti 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.

Which organizations bill Medicare for Shanti Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanti Patel reassigns Medicare benefits to 5 organizations: Mill Hill Medical Consultants Inc (New Haven, CT), Virtua Medical Group, PA (Mount Holly, NJ), Upmc Altoona (Altoona, PA), Usacs Integrated Acute Care Services Of North Carolina, PLLC (Elizabeth City, NC) and Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shanti Patel affiliated with any hospitals?

According to CMS data, Shanti Patel is affiliated with St Peter's Hospital, Samaritan Hospital Of Troy, New York and Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Shanti Patel was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.