NPIMap

Individual provider Active NPI

Shaiv Bhargav Patel, MD

  • General Practice Physician
  • Oklahoma City, OK
National Provider Identifier
1205396850
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
320109-01 Issued in NY
Practice address
1122 NE 13TH St # 1200
Oklahoma City, OK 73117-1039
Phone
(405) 271-8558
NPI assigned
Mar 20, 2019
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.146741 OH
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 207RG0300X OK
General Practice Physician 208D00000X 320109-01 NY Primary

Addresses

Primary practice location

1122 NE 13TH St # 1200
Oklahoma City, OK 73117-1039

Mailing address

1122 NE 13TH St # 1200
Oklahoma City, OK 73117-1039
Phone (405) 271-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OK2 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
I20231101001300 OH Practitioner - HospitalistPractitioner - Internal Medicine 4587053178 Reassigns benefits to 1 organization
I20240417001772 OK Practitioner - Internal MedicinePractitioner - Hospitalist 4587053178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-4978

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.146741OHMDInternal Medicine Physician
207RG0300XOKMDGeriatric Medicine (Internal Medicine) Physician
320109-01NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Single Specialty CurrentSince Sep 19, 2023 Accepting new patients
Metro Healthcare Services LLC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Metro Physicians LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Single Specialty Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1211 N Shartel Ave
Ste 408
Oklahoma City, OK 73103
Phone (405) 835-3428

Interoperability endpoints

  • Direct secure messaging: spatel511250@direct-ehr-ssmhc.com

Organizations & group practices 5

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 9

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1205396850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST # 1200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST # 1200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAIV",
        "middle_name": "BHARGAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.146741",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "207RG0300X",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "320109-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.