Shivali Patel, M.D.
NPI 1184043853 · Family Medicine Physician · Johnson City, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivali Patel, M.D. is a Family Medicine Physician provider in Johnson City, TN (NPI 1184043853).
Provider details
- NPI number
- 1184043853
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 56189 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
635 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 326 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 168 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 96 | $104 |
| Advance Care Planning, First 30 Minutes99497 | 28 | $70 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians andG0180 | 17 | $49 |
Typical Medicare-allowed amounts for these services range $49–$109 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 35 | 23 |
| Metoprolol Tartrate | 27 | 17 |
| Lisinopril | 24 | 17 |
| Metoprolol Succinate | 22 | 14 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 22 | 21 |
| Amlodipine Besylate | 21 | 17 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-10
- Last updated
- 2022-07-21
Frequently asked questions
- What is Shivali Patel's NPI number?
- Shivali Patel's National Provider Identifier (NPI) is 1184043853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivali Patel's specialty?
- Shivali Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shivali Patel located?
- Shivali Patel's practice location on file with NPPES is 400 N State of Franklin Rd Fl 4, Johnson City, TN 37604-6035.
- What is Shivali Patel's phone number?
- The practice phone number listed in the NPPES registry for Shivali Patel is (423) 431-1961.
- Does Shivali Patel accept Medicare?
- Shivali Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivali Patel's NPI active?
- Yes — Shivali Patel's NPI (1184043853) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.