DR. SHAWN BALDEV PATEL MD
NPI 1922462704
Hospitalist in Fayetteville, GA
About Dr. Shawn Baldev Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN BALDEV PATEL MD (NPI 1922462704) is an individual hospitalist provider in Fayetteville, Georgia, licensed in Georgia (83112) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and maintains a secondary practice location in Rome.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Shawn Baldev 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.
Areas of Expertise CMS Part B claims 5
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GAPiedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Shawn Patel's NPI number?
The NPI number for Shawn Patel is 1922462704. It was assigned to this individual provider in the NPPES registry on April 7, 2016.
Where is Shawn Patel located?
Shawn Patel practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (404) 367-3014.
What is Shawn Patel's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Shawn Patel enrolled in Medicare?
Yes. Shawn 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 Shawn Patel accept?
Health plans from Alliant Health Plans, Inc. list Shawn 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 Shawn Patel affiliated with any hospitals?
According to CMS data, Shawn Patel is affiliated with Atrium Health Floyd Medical Center and Piedmont Fayette Hospital.
When was this NPI record last updated?
The NPPES record for Shawn Patel was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.