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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHIVSPINE PLLC
NPI 1104759208
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Stuart, FL

Active since June 08, 2026
1050 SE MONTEREY RD STE 400, STUART, FL 34994(772) 288-2400 Get Directions Write a Review

NPPES record added: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shivspine Pllc NPPES

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

SHIVSPINE PLLC (NPI 1104759208) is a healthcare organization registered as an orthopaedic surgery of the spine in Stuart, Florida and active in the NPI registry since June 2026. The organization maintains a secondary practice location in Port St Lucie and lists Shivam Upadhyaya, President, as its authorized official.

NPPES Registry Identity

NPI1104759208
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameSHIVSPINE PLLC
Location Address1050 SE MONTEREY RD STE 400Stuart, FL 34994-4512
Mailing Address591 Evernia St Apt 301West Palm Beach, FL 33401-5777 · (954) 829-4330
Phone(772) 288-2400
Organization SubpartNo
Authorized OfficialShivam UpadhyayaPresident · (954) 829-4330
Enumeration DateJune 8, 2026
NPPES CertifiedJune 7, 2026
✔ NPI 1104759208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1050 SE MONTEREY RD STE 400, Stuart, FL 34994
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Secondary Practice Location 1

Location 19401 SW Discovery Way Ste 201Port St Lucie, FL 34987-2381 · Phone (772) 288-2400

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MICHAEL JENKINS
Physician Assistant
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
DR. DANIEL SHAKESPEARE HUSTED M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
CAITLYN G PRUCINSKY PA
Physician Assistant (Surgical)
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
DR. CHECK C. KAM M.D.
Surgery (Surgery of the Hand)
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
DR. NATHANIEL H HILL M.D.
Orthopaedic Surgery
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
PAUL I AVIDON PA
Physician Assistant (Surgical)
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
DANIEL A. JONES MD
Orthopaedic Surgery
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400
SCOTT BUSSOM P.A.
Physician Assistant (Surgical)
1050 SE MONTEREY RD STE 400
STUART, FL 34994
Martin County (772) 288-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivspine PLLC's NPI number?

The NPI number for Shivspine PLLC is 1104759208. It was assigned to this organization in the NPPES registry on June 8, 2026.

Where is Shivspine PLLC located?

Shivspine PLLC is located at 1050 SE Monterey Rd Ste 400, Stuart, FL 34994. The listed phone number is (772) 288-2400.

What is Shivspine PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Shivspine PLLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.