DR. SHIVAM GIRISH PATEL (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1285074013
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
238 ENDOCRINOLOGY in GA
Provider Addresses for DR. SHIVAM GIRISH PATEL (M.D.)
2701 N Decatur Rd
Decatur, GA 30033
Phone: (404) 501-1000
Type: Location
4157 FISCHER WAY
ATLANTA, GA 303411454
Phone:
Type: Mailing
4441 ATLANTA RD SE STE 212
SMYRNA, GA 300806442
Phone: (470) 956-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $519.
Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($122).
Total Amount
$519
General + Research + Ownership
Payments
23
Total payment records
General Amount
$519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $122 |
| Insulet Corporation | $108 |
| Tandem Diabetes Care, Inc. | $78 |
| Radius Health, Inc. | $31 |
| RECORDATI_RARE_DISEASES_INC. | $31 |
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: 2019-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190212002107 | I | Endocrinology | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 367 | 179 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 254 | 106 | $0 |
| 83036 | Hemoglobin a1c level | 159 | 88 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 76 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 30033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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