SHIVANI BISTA MD
NPI 1316320898
Obstetrics & Gynecology in Ephrata, PA

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
175 MARTIN AVE STE 125, EPHRATA, PA 17522(717) 721-5700(717) 715-1296 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2025, Jan 24, 2023, Aug 15, 2019 (3 updates tracked since 2019).

About Shivani Bista Md NPPES

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

SHIVANI BISTA MD (NPI 1316320898) is an individual obstetrics & gynecology provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD467392) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1316320898
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHIVANI BISTACredential: MD
Location Address175 MARTIN AVE STE 125Ephrata, PA 17522
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 721-5700 · Fax (717) 715-1296
Fax(717) 715-1296
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 2, 2015
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1316320898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD467392
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
175 MARTIN AVE STE 125, Ephrata, PA 17522

Secondary Practice Location 1

Location 135 Erick RdLancaster, PA 17601-3111 · Phone (717) 721-5700

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

Shivani Bista Md 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 ID9234468992
PECOS Enrollment IDI20190906000344
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 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.

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.
24 services19 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
175 MARTIN AVE STE 125
EPHRATA, PA 17522
Obstetrics & Gynecology (Obstetrics)
175 MARTIN AVE STE 125
EPHRATA, PA 17522
Physician Assistant (Medical)
175 MARTIN AVE STE 125
EPHRATA, PA 17522
Obstetrics & Gynecology
175 MARTIN AVE STE 125
EPHRATA, PA 17522
Midwife
175 MARTIN AVE STE 125
EPHRATA, PA 17522
Obstetrics & Gynecology
175 MARTIN AVE STE 125
EPHRATA, PA 17522

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 Shivani Bista's NPI number?

The NPI number for Shivani Bista is 1316320898. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Shivani Bista located?

Shivani Bista practices at 175 Martin Ave Ste 125, Ephrata, PA 17522. The listed phone number is (717) 721-5700.

What is Shivani Bista's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shivani Bista enrolled in Medicare?

Yes. Shivani Bista 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.

Is Shivani Bista affiliated with any hospitals?

According to CMS data, Shivani Bista is affiliated with Wellspan York Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Shivani Bista was last updated on February 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.