SHIV PRAVIN PATEL
NPI 1306426093
Family Medicine in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment

1131 WILSHIRE BLVD STE 300, SANTA MONICA, CA 90401(310) 395-5588(310) 395-6313 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2024, Jul 14, 2021, Apr 8, 2021 (3 updates tracked since 2021).

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About Shiv Pravin Patel NPPES

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

SHIV PRAVIN PATEL (NPI 1306426093) is an individual family medicine provider in Santa Monica, California, licensed in California (A195003) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of University Of South Carolina School Of Medicine (2021).

NPPES Registry Identity

NPI1306426093

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHIV PRAVIN PATEL

Location Address1131 WILSHIRE BLVD STE 300Santa Monica, CA 90401-2066

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5138

Phone(310) 395-5588

Fax(310) 395-6313

Sole ProprietorYes

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1306426093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A195003✔ Licensed in SC · LL86021

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1131 WILSHIRE BLVD STE 300, Santa Monica, CA 90401

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Secondary Practice Location 1

Location 1877 W Faris RdGreenville, SC 29605-4289 · Phone (864) 455-7800

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shiv Pravin Patel 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.

PECOS PAC ID3971906512

PECOS Enrollment IDI20240807003727

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services14 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11 services11 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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