SHANI PATEL (DO) – Pulmonary Disease Physician, NPI 1619465747

SHANI PATEL (DO) is a healthcare provider. based in Hudson, Florida. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials DO. They hold a License No. 036.169431 (IL). The NPI Number for SHANI PATEL (DO) is 1619465747

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SHANI PATEL (DO)
NPI
1619465747
Phone
(727) 819-2966
Address
14000 FIVAY RD
Enumeration Date
24 April 2018
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473768969
Graduation Year
2021 (5 years ago)
PAC ID
5698006211
Group Practice PAC ID
8729302054
Professional Enrollment ID
I20240710000199
Address ID
IL600168821DE1400XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

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Provider Addresses for SHANI PATEL (DO)

  • Regional Medical Center Bayonet Point, 14000, Fivay Road, Hudson, Pasco County, Florida, 34667, United States

    HUDSON, FL 346677103

    Phone: (727) 819-2966

    Type: Mailing

  • 1400 E GOLF RD STE 211

    DES PLAINES, IL 600168821

    Phone: (847) 376-8969

    Type: Mailing

  • 1400 E GOLF RD

    DES PLAINES, IL 600161236

    Phone: (847) 376-8969

    Fax: (773) 283-8688

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,032.

Total Amount is formed as General ($1,032) + Research ($0) + Ownership ($0) = $1,032.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Olympus Corporation of the Americas ($671).

Total Amount

$1,032

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,032

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240710000199IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34667)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729302054View full group profile
NameSpecialtyState
Physician AssistantIL
Nurse PractitionerIL
Pulmonary DiseaseIL
Critical Care (Intensivists), Pulmonary DiseaseIL
Pulmonary Disease, Critical Care (Intensivists)AZ
Critical Care (Intensivists)PA
Pulmonary Disease, Critical Care (Intensivists)AZ
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineIL

Reviews

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Frequently asked questions

What NPI should I save for SHANI PATEL (DO)?
Save NPI 1619465747 if you need a stable reference for SHANI PATEL (DO).
Is SHANI PATEL (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SHANI PATEL (DO) treat or focus on?
Patients typically see SHANI PATEL (DO) under the specialty Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for SHANI PATEL (DO)?
We surface Hudson, Florida for SHANI PATEL (DO) based on available NPPES addresses.
How can I contact SHANI PATEL (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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