Shivam Patel, M.D.
NPI 1285074013 · Endocrinology, Diabetes & Metabolism Physician · Smyrna, GA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivam Patel, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Smyrna, GA (NPI 1285074013).
Provider details
- NPI number
- 1285074013
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 081612 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,007 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 326 | $129 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 241 | $17 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 204 | $3 |
| Hemoglobin A1c Level83036 | 103 | $10 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 94 | $35 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 392 | 119 |
| Semaglutidebrand: Ozempic | 260 | 62 |
| Metformin Hcl | 212 | 69 |
| Tirzepatidebrand: Mounjaro | 205 | 37 |
| Glipizide | 129 | 38 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 128 | 56 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$258 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2701 N Decatur RdDecatur, GA 30033Phone: (404) 501-1000
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2019-10-07
Frequently asked questions
- What is Shivam Patel's NPI number?
- Shivam Patel's National Provider Identifier (NPI) is 1285074013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivam Patel's specialty?
- Shivam Patel is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Shivam Patel located?
- Shivam Patel's practice location on file with NPPES is 4441 Atlanta Rd Se Ste 212, Smyrna, GA 30080-6442.
- What is Shivam Patel's phone number?
- The practice phone number listed in the NPPES registry for Shivam Patel is (470) 956-4100.
- Does Shivam Patel accept Medicare?
- Shivam Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivam Patel's NPI active?
- Yes — Shivam Patel's NPI (1285074013) is active in the NPPES registry as of the last update on 2019-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.