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SHIVANI PHANSE DPM
NPI 1568083046
Podiatrist - Foot & Ankle Surgery in San Diego, CA

Active since May 06, 2020PECOS EnrolledAccepts Medicare Assignment
10727 SANTA TOMASA AVE, SAN DIEGO, CA 92127(510) 371-2359 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2024, May 6, 2020 (2 updates tracked since 2020).

About Shivani Phanse Dpm NPPES

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

SHIVANI PHANSE DPM (NPI 1568083046) is an individual foot & ankle surgery provider in San Diego, California, licensed in California (E6018) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2020).

NPPES Registry Identity

NPI1568083046
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameSHIVANI PHANSECredential: DPM
Location Address10727 SANTA TOMASA AVESan Diego, CA 92127-3309
Mailing Address10727 Santa Tomasa AveSan Diego, CA 92127-3309 · (510) 371-2359
Phone(510) 371-2359
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2020
Enumeration DateMay 6, 2020
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1568083046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E6018
10727 SANTA TOMASA AVE, San Diego, CA 92127
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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 and accepts Medicare assignment

Shivani Phanse Dpm 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 ID2961939087
PECOS Enrollment IDI20241231000627
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.

Other Providers at the Same Location NPPES

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

SHIVANI PHANSE DPM INC
Podiatrist
10727 SANTA TOMASA AVE
SAN DIEGO, CA 92127
San Diego County (510) 371-2359

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 Phanse's NPI number?

The NPI number for Shivani Phanse is 1568083046. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Shivani Phanse located?

Shivani Phanse practices at 10727 Santa Tomasa Ave, San Diego, CA 92127. The listed phone number is (510) 371-2359.

What is Shivani Phanse's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shivani Phanse enrolled in Medicare?

Yes. Shivani Phanse 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.

When was this NPI record last updated?

The NPPES record for Shivani Phanse was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.