Shailesh V Patel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

13740 Issued in MS

Practice address

8613 Ms Highway 12
Ackerman, MS 39735-8917

Phone

(662) 285-9460

Fax

(662) 285-9324

NPI assigned

Feb 13, 2006

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Health Corp. of Houston, Inc

  dba Trace Regional Hospital

  • Certified Registered Nurse Anesthetist
  • Houston, MS
  • NPI 1942484365
  NPD
• Chickasaw Emergency Group LLC

  • Medical Physician Assistant
  • Houston, MS
  • NPI 1134215478
  NPD (past)
• Southern Health Corp. of Houston, Inc

  dba Family Medical Clinic of Houston

  • Rural Health Clinic/Center
  • Houston, MS
  • NPI 1083721732
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1316911837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 MS HIGHWAY 12",
            "address_2": "SUITE #1",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358917",
            "telephone_number": "662-456-5008",
            "fax_number": "662-456-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 MS HIGHWAY 12",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358917",
            "telephone_number": "662-285-9460",
            "fax_number": "662-285-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAILESH",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "13740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112963",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Mississippi Medical Clinics Inc (Ackerman Medical Clinic)
• Och Family Practice Ackerman (Parsons Family Medical Clinic)
• Sharon Olive, MS
• Elizabeth Oredein
• Prentiss Parsons, M.D.
• Pioneer Health Services of Choctaw County, LLC (Pioneer Family Medical of Ackerman)
• Pioneer Health Services of Choctaw County, LLC (Pioneer Community Hospital of Choctaw)
• Pioneer Health Services of Choctaw County, LLC (Pioneer Community Hospital of Choctaw)
• Pioneer Health Services of Choctaw County, LLC (Pioneer Community Hospital of Choctaw)
• Pioneer Health Services of Choctaw County, LLC (Pioneer Medical Center)

• Specialist in Ackerman, MS
• Providers in Ackerman, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.