DR. KIRAN SHIVARAJ
NPI 1205350097
Internal Medicine - Nephrology in Daytona Beach, FL
About Dr. Kiran Shivaraj NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIRAN SHIVARAJ (NPI 1205350097) is an individual nephrology provider in Daytona Beach, Florida, licensed in Florida (ME165166) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kiran Shivaraj is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kiran Shivaraj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 786 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Halifax Health Medical Center
Acute Care Hospitals · Daytona Beach, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32114 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
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 Kiran Shivaraj's NPI number?
The NPI number for Kiran Shivaraj is 1205350097. It was assigned to this individual provider in the NPPES registry on August 2, 2017.
Where is Kiran Shivaraj located?
Kiran Shivaraj practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-4000.
What is Kiran Shivaraj's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kiran Shivaraj enrolled in Medicare?
Yes. Kiran Shivaraj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kiran Shivaraj's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Shivaraj reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, FL). The 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 Kiran Shivaraj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiran Shivaraj accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kiran Shivaraj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kiran Shivaraj affiliated with any hospitals?
According to CMS data, Kiran Shivaraj is affiliated with Halifax Health Medical Center.
When was this NPI record last updated?
The NPPES record for Kiran Shivaraj was last updated on April 23, 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.
# Dr. Kiran Shivaraj · NPI 1205350097
Nephrology physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since August 2, 2017.
## Identity
- **NPI:** 1205350097 (Entity type: Individual)
- **Enumerated:** August 2, 2017
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** ME165166 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114-2709
- **Phone:** (386) 425-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Halifax Healthcare Systems Inc (NPI 1245283530, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205350097) · Data from the CMS NPPES public registry.