SHANTI MANGALASSERIL SHIVAJI MD
NPI 1487018586
Obstetrics & Gynecology in Greensboro, NC

Q: What is Shanti Shivaji's NPI number?

The NPI number for Shanti Shivaji is 1487018586. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Shanti Shivaji's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shanti Shivaji was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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, 2016PECOS EnrolledAccepts Medicare Assignment

91.1/100

CMS Quality Rating

510 N ELAM AVE STE 101, GREENSBORO, NC 27403(336) 854-8800(336) 834-0595 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shanti Mangalasseril Shivaji Md NPPES

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

SHANTI MANGALASSERIL SHIVAJI MD (NPI 1487018586) is an individual obstetrics & gynecology provider in Greensboro, North Carolina, licensed in North Carolina (202002975) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487018586

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHANTI MANGALASSERIL SHIVAJICredential: MD

Location Address510 N ELAM AVE STE 101Greensboro, NC 27403-1135

Mailing Address1730 Baldwin DrMc Lean, VA 22101-5048 · (703) 442-0486

Phone(336) 854-8800

Fax(336) 834-0595

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 5, 2016

Last NPPES UpdateJuly 6, 2020

NPPES CertifiedJuly 6, 2020

✔ NPI 1487018586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 202002975

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

510 N ELAM AVE STE 101, Greensboro, NC 27403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Shanti Mangalasseril Shivaji 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 ID345534376

PECOS Enrollment IDI20200915002672

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 27403 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.09

Promoting Interoperability

100

Improvement Activities

Cost

80.24

Reported Quality Measures

Breast Cancer Screening

78%36 patients4/55-star benchmark: 93%

Cervical Cancer Screening

83%385 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

43%89 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

39%70 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

82%734 patients4/55-star benchmark: 100%

e-Prescribing

99%274 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

25%397 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

35%597 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 439 patients

0%439 patients

Provide Patients Electronic Access to Their Health Information

98%416 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

NATALYA MANN FNP

Nurse Practitioner