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SHIVAM PATEL MD
NPI 1144071259
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since March 27, 2024PECOS Enrolled
3500 GASTON AVE, DALLAS, TX 75246(214) 820-0111 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shivam Patel Md NPPES

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

SHIVAM PATEL MD (NPI 1144071259) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144071259
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHIVAM PATELCredential: MD
Location Address3500 GASTON AVEDallas, TX 75246-2088
Mailing Address3500 Gaston Ave Fl Y-wing3Dallas, TX 75246-2017 · (214) 820-2361
Phone(214) 820-0111
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1144071259 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.
3500 GASTON AVE, Dallas, TX 75246
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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)

Shivam 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.

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

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 Shivam Patel's NPI number?

The NPI number for Shivam Patel is 1144071259. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Shivam Patel located?

Shivam Patel practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0111.

What is Shivam Patel's specialty?

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

Is Shivam Patel enrolled in Medicare?

Yes. Shivam Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivam Patel was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.