Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIVAM KHOSLA DO
NPI 1356082044
Psychiatry & Neurology - Psychiatry in Orange Park, FL

Q: What is Shivam Khosla's NPI number?

The NPI number for Shivam Khosla is 1356082044. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Shivam Khosla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Shivam Khosla was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since April 05, 2022PECOS Enrolled

2021 PROFESSIONAL CENTER DR STE 101, ORANGE PARK, FL 32073(904) 213-9210 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 11, 2026, Apr 5, 2022 (2 updates tracked since 2022).

On this page

About Shivam Khosla Do NPPES

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

SHIVAM KHOSLA DO (NPI 1356082044) is an individual psychiatry provider in Orange Park, Florida, licensed in Florida (OS24072) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356082044

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSHIVAM KHOSLACredential: DO

Location Address2021 PROFESSIONAL CENTER DR STE 101Orange Park, FL 32073-4461

Mailing Address2021 Professional Center Dr Ste 101Orange Park, FL 32073-4461

Phone(904) 213-9210

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1356082044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · OS24072

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2021 PROFESSIONAL CENTER DR STE 101, Orange Park, FL 32073

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shivam Khosla Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Shivam Khosla's NPI number?

The NPI number for Shivam Khosla is 1356082044. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Shivam Khosla located?

Shivam Khosla practices at 2021 Professional Center Dr Ste 101, Orange Park, FL 32073. The listed phone number is (904) 213-9210.

What is Shivam Khosla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shivam Khosla enrolled in Medicare?

Yes. Shivam Khosla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivam Khosla was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.