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SHIVANAND R POLE MD INC
NPI 1598042178
Internal Medicine in Los Alamitos, CA

Active since November 09, 2011
3801 KATELLA AVE STE 321, LOS ALAMITOS, CA 90720(562) 546-7282(562) 546-7284 Get Directions Write a Review

NPPES record last updated: October 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shivanand R Pole Md Inc NPPES

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

SHIVANAND R POLE MD INC (NPI 1598042178) is a healthcare organization registered as an internal medicine in Los Alamitos, California and active in the NPI registry since November 2011. The organization lists Shivanand R Pole, President, as its authorized official.

NPPES Registry Identity

NPI1598042178
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHIVANAND R POLE MD INC
Location Address3801 KATELLA AVE STE 321Los Alamitos, CA 90720-3369
Mailing Address3801 Katella Ave Ste 321Los Alamitos, CA 90720-3369 · (562) 546-7282 · Fax (562) 546-7284
Phone(562) 546-7282
Fax(562) 546-7284
Organization SubpartNo
Authorized OfficialShivanand R PolePresident · (562) 546-7282
Enumeration DateNovember 9, 2011
Last NPPES UpdateOctober 11, 2025
NPPES CertifiedOctober 11, 2025
✔ NPI 1598042178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A101547
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/CenterTaxonomy 261Q00000X · License A101547 (CA)
3801 KATELLA AVE STE 321, Los Alamitos, CA 90720
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shivanand R Pole Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shivanand R Pole MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shivanand Pole, M.D
Internal Medicine
NPI 1477737369
3801 KATELLA AVE STE 321
Los Alamitos, CA 90720
(562) 546-7282
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shivanand R Pole MD Inc's NPI number?

The NPI number for Shivanand R Pole MD Inc is 1598042178. It was assigned to this organization in the NPPES registry on November 9, 2011.

Where is Shivanand R Pole MD Inc located?

Shivanand R Pole MD Inc is located at 3801 Katella Ave Ste 321, Los Alamitos, CA 90720. The listed phone number is (562) 546-7282.

What is Shivanand R Pole MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shivanand R Pole MD Inc enrolled in Medicare?

Yes. Shivanand R Pole MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shivanand R Pole MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shivanand R Pole MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shivanand R Pole MD Inc was last updated on October 11, 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.