SHRUTI PATEL – Optometrist, NPI 1417402439

SHRUTI PATEL is a healthcare provider. based in Peachtree corners, Georgia. specializing in OPTOMETRY. They hold a License No. 2015-961AT (LA). The NPI Number for SHRUTI PATEL is 1417402439

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHRUTI PATEL
NPI
1417402439
Phone
Not provided
Address
5151 PEACHTREE PKWY
Enumeration Date
19 August 2016
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2256447525
Graduation Year
2016 (10 years ago)
PAC ID
7810246337
Group Practice PAC ID
9335131192
Professional Enrollment ID
I20240612001619
Address ID
LA707374643GO2308XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

375 OPTOMETRY in LA

Provider Addresses for SHRUTI PATEL

  • 5151 PEACHTREE PKWY

    SUITE 700

    PEACHTREE CORNERS, GA 300926525

    Phone:

    Type: Mailing

  • 550 Connell Park Ln

    Baton Rouge, LA 708066539

    Phone: (225) 924-2020

    Fax: (225) 924-2809

    Type: Location

  • Ashford Dunwoody Road Northeast, Valley View, Dunwoody, DeKalb County, Georgia, 31146, United States

    DUNWOODY, GA 303461516

    Phone: (770) 399-0488

    Type: Location

  • 2308 S BURNSIDE AVE

    GONZALES, LA 707374643

    Phone: (225) 644-7525

    Fax: (225) 647-3710

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,266.

Total Amount is formed as General ($1,266) + Research ($0) + Ownership ($0) = $1,266.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($245).

Total Amount

$1,266

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2024-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180816002104IOptometryGATBD
I20240612001619IOptometryLATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2218$0
View full utilization report →

Insurance plans in this area (ZIP 30092)

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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: 9335131192View full group profile
NameSpecialtyState
O P T O M E T R YLA
O P T O M E T R YLA
O P T O M E T R YLA
O P H T H A L M O L O G YLA
O P H T H A L M O L O G YMS
O P T O M E T R YLA
O P H T H A L M O L O G YLA
O P T O M E T R YLA
O P T O M E T R YLA
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

What is the standard ID for SHRUTI PATEL in the U.S.?
In the U.S., SHRUTI PATEL is identified by NPI 1417402439.
Quick check: is SHRUTI PATEL active?
Public NPPES data shows SHRUTI PATEL with an active NPI status right now.
What type of care does SHRUTI PATEL provide?
SHRUTI PATEL's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to SHRUTI PATEL?
The directory associates SHRUTI PATEL with Peachtree Corners, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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