SHANTI PATEL
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: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2019, Nov 4, 2016 (2 updates tracked since 2016).

About Shanti Patel NPPES

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

SHANTI PATEL (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 West Jersey Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1861944076
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHANTI PATEL
Location Address20 YORK STREET, CB-2041, MAIMONIDES MEDICAL CENTERNew Haven, CT 06510-3220
Mailing Address20 York Street, Cb-329, Maimonides Medical CenterNew 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 UpdateJune 17, 20192 updates tracked since enumeration
NPI 1861944076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CT · 62954
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 Location 1

Location 14802 10th Avenue, Maimonides Medical CenterBrooklyn, NY 11219 · Phone (718) 283-6000

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

Shanti 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 ID446504534
PECOS Enrollment IDI20190816002638, I20250429002718, 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.

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.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden 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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford 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.

Is Shanti Patel affiliated with any hospitals?

According to CMS data, Shanti Patel is affiliated with West Jersey Hospital, Upmc Altoona and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Shanti Patel was last updated on June 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.