SHIVANY PATHANIA MD
NPI 1346709136
Pediatrics in Stony Brook, NY

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(401) 444-4660(401) 444-6045 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Sep 18, 2025, Jun 25, 2025 and 1 more (4 updates tracked since 2019).

About Shivany Pathania Md NPPES

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

SHIVANY PATHANIA MD (NPI 1346709136) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (338549) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2019).

NPPES Registry Identity

NPI1346709136
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHIVANY PATHANIACredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-8111 · (631) 444-8115 · Fax (631) 444-6045
Fax(401) 444-6045
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1346709136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 338549
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
101 NICOLLS RD, Stony Brook, NY 11794

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

Shivany Pathania 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 ID3476881855
PECOS Enrollment IDI20251006000161
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shivany Pathania reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
101 NICOLLS RD RM 20
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 59 clinicians in this Medicare group
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 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 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Shivany Pathania's NPI number?

The NPI number for Shivany Pathania is 1346709136. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Shivany Pathania located?

Shivany Pathania practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (401) 444-4660.

What is Shivany Pathania's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shivany Pathania enrolled in Medicare?

Yes. Shivany Pathania 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 organizations bill Medicare for Shivany Pathania's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivany Pathania reassigns Medicare benefits to 2 organizations: Neurology Associates Of Stony Brook, University Faculty Practice Corpo (Stony Brook, NY) and Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). 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 Shivany Pathania'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 Shivany Pathania was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.