DR. SHAMA PATEL (DO) – Emergency Medicine Physician, NPI 1205297942

DR. SHAMA PATEL (DO) is a healthcare provider. based in Clinton township, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 85053 (GA). The NPI Number for DR. SHAMA PATEL (DO) is 1205297942

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAMA PATEL (DO)
NPI
1205297942
Phone
Not provided
Address
15855 19 MILE RD
Enumeration Date
8 March 2016
Last Update Date
4 May 2020

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7709183000
Graduation Year
2016 (10 years ago)
PAC ID
8426340613
Group Practice PAC ID
0840531919
Professional Enrollment ID
I20200507002932
Address ID
GA300123877CO1412XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. SHAMA PATEL (DO)

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($60).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-05-07

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
I20200507002932IEmergency 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
99285Emergency department visit with high level of medical decision making9794$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8584$0
99291Critical care, first 30-74 minutes3837$0
99284Emergency department visit with moderate level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 0840531919View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineNY
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is DR. SHAMA PATEL (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. SHAMA PATEL (DO) with NPI 1205297942.
Does the file indicate DR. SHAMA PATEL (DO) is practicing under active NPI?
Directory data currently reports DR. SHAMA PATEL (DO) as active.
What taxonomy line describes DR. SHAMA PATEL (DO)?
For research purposes, treat DR. SHAMA PATEL (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHAMA PATEL (DO)?
DR. SHAMA PATEL (DO)'s geographic hint is Clinton Township, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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