Shirley Harish Patel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2007-01572 Issued in NC

Practice address

4796 Old Tar Rd
Winterville, NC 28590-9752

Phone

(252) 353-4111

Fax

(252) 353-1727

NPI assigned

Sep 24, 2007

Last updated

Oct 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Physicians East PAGroup PAC ID 1850284571, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Greenville, NC, CCN 347031
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shirleypatel@pepa.medalliesdirect.net

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.

• Physicians East, P.a.

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1598761967
  Medicare reassignment Care Compare group NPD
• Physicians East, PA

  dba Greenville Women's Care

  • Obstetrics & Gynecology Physician
  • Greenville, NC
  • NPI 1205884939
  NPD
• Physicians East PA

  • Multi-Specialty Clinic/Center
  • Farmville, NC
  • NPI 1033115407
  NPD (past)

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

• Eastern Carolina Home Health Agency, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Greenville, NC
  • NPI 1396775136
  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1306032388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-413-6740",
            "fax_number": "252-752-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 OLD TAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909752",
            "telephone_number": "252-353-4111",
            "fax_number": "252-353-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIRLEY",
        "middle_name": "HARISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-01572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradigm, Inc.
• Paradigm, Inc.
• Clayten Lee Parker, FNP
• Parkers Reliant Transportation LLC
• Passion Favored Transportation & Hope Social Therapy LLC
• Yareliz Marie Pellot Soto
• People First Home Care, Inc.
• Person Centered Support Consulting Services LLC
• Damian Phillips, M.ED
• Phoenix Medical Transportation LLC

• Family Medicine Physician in Winterville, NC
• Providers in Winterville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.