SHIVANI PATEL MD
NPI 1053170191
Student in an Organized Health Care Education/Training Program in Portland, ME

Q: What is Shivani Patel's NPI number?

The NPI number for Shivani Patel is 1053170191. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Shivani Patel'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 Patel was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2024PECOS Enrolled

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shivani Patel Md NPPES

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

SHIVANI PATEL MD (NPI 1053170191) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053170191

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHIVANI PATELCredential: MD

Location Address22 BRAMHALL STPortland, ME 04102-3175

Mailing Address22 Bramhall StPortland, ME 04102-3175 · (207) 662-0111

Phone(207) 662-0111

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1053170191 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.

22 BRAMHALL ST, Portland, ME 04102

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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)

Shivani Patel Md 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.