NPIMap

Individual provider Active NPI

Shammi A Patel, DO

  • Pain Medicine Physician
  • Glasgow, KY
National Provider Identifier
1154825289
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
OS21002 Issued in FL
Practice address
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone
(270) 659-5990
Fax
(270) 659-5947
NPI assigned
Mar 22, 2018
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X OS21002 FL
Student in an Organized Health Care Education/Training Program 390200000X 000000000
Pain Medicine Physician 208VP0000X OS21002 FL Primary

Addresses

Primary practice location

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300

Mailing address

419 SW 15TH Ave
Ste 203
Ocala, FL 32608
Phone (305) 814-7246

Other practice location 1

185 S Orange Ave # Msbg594
Newark, NJ 07103
Phone (973) 972-5045

Other practice location 2

419 SW 15th St
Ste 203
Ocala, FL 34471-0609
Phone (305) 814-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250527000892 FL Practitioner - Pain ManagementPractitioner - General PracticePractitioner - Interventional Pain ManagementPractitioner - Addiction MedicinePractitioner - Physical Medicine and Rehabilitation 3779995287 Reassigns benefits to 2 organizations
I20251024000176 KY Practitioner - Pain Management 3779995287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Touro Un Col of Osteopathic Medicine, New York, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

419 SW 15TH St
Suite 203
Ocala, FL 34471-0609
Phone (267) 712-9894

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Premier Rehabilitation Specialists LLC Single Specialty CurrentSince Mar 6, 2025 Accepting new patients

Locations

419 SW 15th St
Ste 203
Ocala, FL 34471
Phone (267) 712-9894

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1154825289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SW 15TH AVE",
            "address_2": "STE 203",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "305-814-7246",
            "fax_number": "352-517-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5990",
            "fax_number": "270-659-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave # Msbg594",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07103",
            "country_code": "US",
            "telephone_number": "973-972-5045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 SW 15th St",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710609",
            "country_code": "US",
            "telephone_number": "305-814-7246",
            "fax_number": "352-517-8952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAMMI",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS21002",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "000000000",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS21002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.