Individual provider Active NPI

Shiraz Khushroo Patel, MD

  • Orthopaedic Surgery Physician
  • Paducah, KY
National Provider Identifier
1699759449
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
41151 Issued in KY
Practice address
200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone
(270) 442-9461
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 40786 MN
Orthopaedic Surgery Physician 207X00000X 41151 KY Primary

Addresses

Primary practice location

200 Clint Hill Blvd
Paducah, KY 42001-6768

Mailing address

3530 Lone Oak Rd
Suite a
Paducah, KY 42003-5752
Phone (270) 554-0505

Other practice location 1

3530 Lone Oak Rd
Suite A
Paducah, KY 42003-5752
Phone (270) 554-0505

Other identifiers 1

IdentifierTypeStateIssuer
957519700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070830000258 KY Practitioner - Orthopedic Surgery 9436058286 Reassigns benefits to 2 organizations
I20151022002121 IL Practitioner - Orthopedic Surgery 9436058286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (888) 696-3541

1532 Lone Oak Rd
Paducah, KY 42003-7942

1811 E 5TH St
Metropolis, IL 62960-3107
Phone (270) 442-9461

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461

Hospital & facility affiliations

  • Mercy Health - Home Care, Paducah Home health agency, Paducah, KY, CCN 187100
  • Centerwell Home Health Home health agency, Murray, KY, CCN 187117
  • Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
  • Marion Home Health Agency Home health agency, Marion, KY, CCN 187301
  • Baptist Health Deaconess Health at Home Home health agency, Madisonville, KY, CCN 187013
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

Final score
62.45 of 100Reported as group
Quality
50.17
Promoting interoperability
100
Improvement activities
0
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement91
Knee replacement135
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40786MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Western Kentucky PLLC Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Kentucky LLC Orthopaedic Surgery Past Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients

Locations

1811 E 5th St
Metropolis, IL 62960
Phone (270) 442-9461

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

200 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

100 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1699759449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 LONE OAK RD",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035752",
            "telephone_number": "270-554-0505",
            "fax_number": "270-554-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Lone Oak Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420035752",
            "country_code": "US",
            "telephone_number": "270-554-0505",
            "fax_number": "270-554-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIRAZ",
        "middle_name": "KHUSHROO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "40786",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "41151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957519700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.