Shital Patel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

073776 Issued in GA

Practice address

1000 Towne Center Blvd Ste 604
Pooler, GA 31322-4070

Phone

(912) 561-7001

Fax

(912) 561-7002

NPI assigned

May 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
• Serenity Bay Hospice Hospice, Snellville, GA, CCN 851500
• Candler Hospital Hospital, Savannah, GA, CCN 110024
• St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: shital.patel@334589232021508.direct.elationemr.com

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

• Prime Care of Georgia LLC

  • Internal Medicine Physician
  • Pooler, GA
  • NPI 1114591096
  Medicare reassignment NPD Authorized official
• Apogee Medical Group Georgia

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Riverdale, GA
  • NPI 1033576376
  Medicare reassignment NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Griffin, GA
  • NPI 1063859692
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Cedartown, GA
  • NPI 1477099588
  NPD
• Prime Care of Georgia II LLC

  • Allergy & Immunology (Internal Medicine) Physician
  • Pooler, GA
  • NPI 1972258002
  NPD (past)

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Savannah, GA
  • NPI 1942483920
  Care Compare affiliation
• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Saint Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation
• Serenity Bay Hospice 2, LLC

  • Community Based Hospice Care Agency
  • Snellville, GA
  • NPI 1992558753
  Care Compare affiliation

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1639498181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 604",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224070",
            "telephone_number": "912-561-7001",
            "fax_number": "912-561-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 604",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224070",
            "telephone_number": "912-561-7001",
            "fax_number": "912-561-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHITAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "073776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "073776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krupali Patel, RPH
• Misal Minesh Patel, MD
• Monali Patel, OD
• Sagar Pravin Patel, MD
• Sandipkumar I. Patel
• Trupti Patel
• Kelly Paul, CCC-SLP
• Kasharia Paulk
• Pavan Putra Investment Group LLC
• Adelphy Payero, OD

• Internal Medicine Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.