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

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: October 18, 2026.

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

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 and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2022).

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
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2022
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shivam Khosla Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254899115
PECOS Enrollment IDI20260820002743
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 Reassignment

Medicare enrollment records show Shivam Khosla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Family Practice Associates, LLC
13 mi
Family Medicine
1731 UNIVERSITY BLVD S
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group
NPI 1598869844 (904) 725-0200

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 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.

Which organization bills Medicare for Shivam Khosla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivam Khosla reassigns Medicare benefits to Memorial Family Practice Associates, LLC (Jacksonville, 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 Shivam Khosla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivam Khosla accept?

Health plans from Oscar Health Maintenance Organization of Florida list Shivam Khosla 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.

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 2 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.