DR. SHIVANI K THAKER MD, PHD
NPI 1023695806
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Shivani Thaker's NPI number?

The NPI number for Shivani Thaker is 1023695806. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Shivani Thaker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shivani Thaker was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2021PECOS Enrolled

50 STANIFORD ST FL 9, BOSTON, MA 02114(617) 643-7568 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shivani K Thaker Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIVANI K THAKER MD, PHD (NPI 1023695806) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023695806

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SHIVANI K THAKERCredential: MD, PHD

Location Address50 STANIFORD ST FL 9Boston, MA 02114-2506

Mailing Address50 Staniford St Fl 9Boston, MA 02114-2506 · (617) 643-7568

Phone(617) 643-7568

Sole ProprietorNo

Enumeration DateMarch 26, 2021

NPPES CertifiedMarch 26, 2021

✔ NPI 1023695806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

50 STANIFORD ST FL 9, Boston, MA 02114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shivani K Thaker Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON COBBINS MD

Internal Medicine