SHIRIN VARTAK DO
NPI 1164918751
Psychiatry & Neurology - Psychiatry in Del Mar, CA
About Shirin Vartak Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRIN VARTAK DO (NPI 1164918751) is an individual psychiatry provider in Del Mar, California, licensed in California (20A24242) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shirin Vartak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shirin Vartak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, AZ 85308
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Phoenix Children's Hospital
- 1,416 clinicians in this Medicare group
Fresno, CA 93710
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mark David Levine MD Professional Corporation
- 329 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEL MAR, CA 92014
DEL MAR, CA 92014
DEL MAR, CA 92014
DEL MAR, CA 92014
DEL MAR, CA 92014
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 Shirin Vartak's NPI number?
The NPI number for Shirin Vartak is 1164918751. It was assigned to this individual provider in the NPPES registry on July 6, 2018.
Where is Shirin Vartak located?
Shirin Vartak practices at 12865 Pointe Del Mar Way Ste 210, Del Mar, CA 92014. The listed phone number is (855) 501-1004.
What is Shirin Vartak's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Shirin Vartak enrolled in Medicare?
Yes. Shirin Vartak is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shirin Vartak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirin Vartak reassigns Medicare benefits to 2 organizations: Phoenix Children's Medical Group (Glendale, AZ) and Mark David Levine, MD Fresno (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirin Vartak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shirin Vartak was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shirin Vartak, DO · NPI 1164918751
Psychiatry physician in Del Mar, California. Individual provider, active in the CMS NPPES registry since July 6, 2018.
## Identity
- **NPI:** 1164918751 (Entity type: Individual)
- **Enumerated:** July 6, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 20A24242 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12865 POINTE DEL MAR WAY STE 210, Del Mar, CA 92014-3860
- **Phone:** (855) 501-1004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Phoenix Children's Medical Group (NPI 1679703441, Glendale, AZ); Mark David Levine, MD Fresno (NPI 1124387097, Fresno, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2026
- **Other identifiers:** Medicaid 132057 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1164918751) · Data from the CMS NPPES public registry.