SHINAL M PATEL M.D
NPI 1871956698
Surgery in Franklin, IN
About Shinal M Patel M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINAL M PATEL M.D (NPI 1871956698) is an individual surgery provider in Franklin, Indiana, licensed in Indiana (01099601A) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Shinal M Patel M.d 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shinal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, IN 46131
- Reassigned Medicare billing, Indiana enrollment
- 37 clinicians in this Medicare group
Jefferson City, MO 65109
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Jefferson City Medical Group PC
- 155 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johnson Memorial Hospital
Acute Care Hospitals · Franklin, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shinal Patel's NPI number?
The NPI number for Shinal Patel is 1871956698. It was assigned to this individual provider in the NPPES registry on March 30, 2016.
Where is Shinal Patel located?
Shinal Patel practices at 1155 W Jefferson St Ste 102, Franklin, IN 46131. The listed phone number is (317) 736-7603.
What is Shinal Patel's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Shinal Patel enrolled in Medicare?
Yes. Shinal 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 Shinal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shinal Patel reassigns Medicare benefits to 2 organizations: Johnson Memorial Health Physician Network, LLC (Franklin, IN) and Jefferson City Medical Group, P.C. (Jefferson City, MO). 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 Shinal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shinal Patel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Shinal 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 Shinal Patel affiliated with any hospitals?
According to CMS data, Shinal Patel is affiliated with Johnson Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shinal Patel was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shinal M Patel, M.D · NPI 1871956698
Surgery physician in Franklin, Indiana. Individual provider, active in the CMS NPPES registry since March 30, 2016.
## Identity
- **NPI:** 1871956698 (Entity type: Individual)
- **Enumerated:** March 30, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 01099601A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1155 W JEFFERSON ST STE 102, Franklin, IN 46131-2731
- **Phone:** (317) 736-7603 · **Fax:** (317) 736-7932
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johnson Memorial Health Physician Network, LLC (NPI 1053972331, Franklin, IN); Jefferson City Medical Group, P.C. (NPI 1336189398, Jefferson City, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** June 16, 2026
- **Other identifiers:** Medicaid 300131588 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1871956698) · Data from the CMS NPPES public registry.