Shilpesh Shantilal Patel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20083 Issued in SC

Practice address

515 River Crossing Dr
Suite 200
Fort Mill, SC 29715-7900

Phone

(803) 835-6500

Fax

(803) 835-1990

NPI assigned

May 26, 2006

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 SC

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

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.

• Chester Medical Group, LLC

  • Family Medicine Physician
  • Chester, SC
  • NPI 1174753024

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1669428074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297161089",
            "telephone_number": "803-835-6500",
            "fax_number": "803-835-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RIVER CROSSING DR",
            "address_2": "SUITE 200",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157900",
            "telephone_number": "803-835-6500",
            "fax_number": "803-835-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHILPESH",
        "middle_name": "SHANTILAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200838",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinjalben Prakashkumar Patel, PHARMD
• Kishor Valajibhai Patel, PA-C
• Meera Patel
• Riddhi Patel, DMD
• Seema Patel, PTA
• Victoria Leigh Paterra, MS, CCC, SLP
• Path to Progress, LLC
• Javed Firoz Patka, D.O.
• Rayna Patterson, RBT
• Pediatric Play LLC

• Internal Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.