Individual provider Active NPI

Shirali Thakor Patel, M.D.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1174731905
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D78803 Issued in MD
Practice address
3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone
(443) 574-8500
Fax
(410) 719-0094
NPI assigned
May 17, 2007
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D78803 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074

Mailing address

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone (443) 574-8500

Other practice location 1

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5252

Other practice location 2

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone (443) 574-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107000136 MD Practitioner - General Surgery 7113177973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3407 Wilkens Ave
Baltimore, MD 21229-5074

6740 Alexander Bell Dr
Columbia, MD 21046-2248

6740 Alexander Bell Dr
Columbia, MD 21046-2249

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)24
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Surgery CurrentSince Jan 2, 2015 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jan 2, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 410
Baltimore, MD 21229
Phone (443) 574-8500

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

10710 Charter Dr
Ste 230
Columbia, MD 21044
Phone (410) 772-7000

Interoperability endpoints

  • Direct secure messaging: shirali.patel@sah.eclinicaldirectplus.com
  • Direct secure messaging: spatel199425@direct.hopkinsmedicine.org

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1174731905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "443-574-8500",
            "fax_number": "410-719-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "443-574-8500",
            "fax_number": "410-719-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395672",
            "country_code": "US",
            "telephone_number": "973-322-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3407 Wilkens Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295074",
            "country_code": "US",
            "telephone_number": "443-574-8500",
            "fax_number": "410-719-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIRALI",
        "middle_name": "THAKOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D78803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.