SHITAL PATEL (M.D.) – Internal Medicine Physician, NPI 1639498181

SHITAL PATEL (M.D.) is a healthcare provider. based in Carrollton, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 073776 (GA). The NPI Number for SHITAL PATEL (M.D.) is 1639498181

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
SHITAL PATEL (M.D.)
NPI
1639498181
Phone
(770) 838-8710
Address
119 AMBULANCE DR 202
Enumeration Date
24 May 2010
Last Update Date
12 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9129881283
Graduation Year
2007 (19 years ago)
PAC ID
1759524481
Group Practice PAC ID
5597752063
Professional Enrollment ID
I20150928001936
Address ID
GA313224104PO123XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for SHITAL PATEL (M.D.)

  • 119 AMBULANCE DR 202

    CARROLLTON, GA 301173857

    Phone: (770) 838-8710

    Type: Mailing

  • 705 DIXIE ST

    CARROLLTON, GA 301173818

    Phone: (770) 836-9666

    Type: Location

  • 1000 TOWNE CENTER BLVD STE 604

    POOLER, GA 313224070

    Phone: (912) 561-7001

    Fax: (912) 561-7002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $637.

Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($258).

Total Amount

$637

General + Research + Ownership

Payments

29

Total payment records

General Amount

$637

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: 2015-09-28

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
I20150928001936IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7636$0
36415Insertion of needle into vein for collection of blood sample6840$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
99213Established patient office or other outpatient visit, 20-29 minutes2015$0
99215Established patient office or other outpatient visit, 40-54 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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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: 5597752063View full group profile
NameSpecialtyState
Internal MedicineSC
Physical Medicine And RehabilitationNY
Physical Therapist In Private PracticeNY
Nurse PractitionerGA
Family Practice, Sports MedicineFL
Internal MedicineGA
Internal MedicineTN
Family PracticeUT
Orthopedic SurgeryFL
Physical Medicine And RehabilitationGA

Reviews

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Frequently asked questions

What NPI should I save for SHITAL PATEL (M.D.)?
Save NPI 1639498181 if you need a stable reference for SHITAL PATEL (M.D.).
Is SHITAL PATEL (M.D.) currently active in the NPI registry?
CMS-published data lists SHITAL PATEL (M.D.) as an active registrant.
Does SHITAL PATEL (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for SHITAL PATEL (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHITAL PATEL (M.D.)?
The page summarizes Carrollton, Georgia for SHITAL PATEL (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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