DR. SHIVANJALI SANTOSH GORE MBBS
NPI 1194666735
Student in an Organized Health Care Education/Training Program in San Angelo, TX

Active since April 06, 2026PECOS Enrolled
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903(325) 747-4820 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shivanjali Santosh Gore Mbbs NPPES

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

DR. SHIVANJALI SANTOSH GORE MBBS (NPI 1194666735) is an individual student in an organized health care education/training program in San Angelo, Texas and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194666735
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHIVANJALI SANTOSH GORECredential: MBBS
Location Address120 E BEAUREGARD AVESan Angelo, TX 76903-5919
Mailing Address120 E Beauregard AveSan Angelo, TX 76903-5919 · (325) 747-4820
Sole ProprietorYes
Enumeration DateApril 6, 2026
NPPES CertifiedApril 5, 2026
NPI 1194666735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
120 E BEAUREGARD AVE, San Angelo, TX 76903

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. Shivanjali Santosh Gore Mbbs 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.

Nurse Practitioner
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Family Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Dermatology
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Podiatrist
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Student in an Organized Health Care Education/Training Program
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903

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 Shivanjali Santosh Gore's NPI number?

The NPI number for Shivanjali Santosh Gore is 1194666735. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Shivanjali Santosh Gore located?

Shivanjali Santosh Gore practices at 120 E Beauregard Ave, San Angelo, TX 76903. The listed phone number is (325) 747-4820.

What is Shivanjali Santosh Gore's specialty?

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

Is Shivanjali Santosh Gore enrolled in Medicare?

Yes. Shivanjali Santosh Gore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivanjali Santosh Gore was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.