SHIVANI PHANSE DPM INC
NPI 1609674639
Podiatrist in San Diego, CA
About Shivani Phanse Dpm Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIVANI PHANSE DPM INC (NPI 1609674639) is a healthcare organization registered as a podiatrist in San Diego, California and active in the NPI registry since March 2025. The organization lists Shivani Phanse, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shivani Phanse Dpm 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 Shivani Phanse DPM Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Shivani Phanse Dpm Inc's NPI number?
The NPI number for Shivani Phanse Dpm Inc is 1609674639. It was assigned to this organization in the NPPES registry on March 5, 2025.
Where is Shivani Phanse Dpm Inc located?
Shivani Phanse Dpm Inc is located at 10727 Santa Tomasa Ave, San Diego, CA 92127. The listed phone number is (510) 371-2359.
What is Shivani Phanse Dpm Inc's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Shivani Phanse Dpm Inc enrolled in Medicare?
Yes. Shivani Phanse Dpm Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shivani Phanse Dpm Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Shivani Phanse Dpm 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 Shivani Phanse Dpm Inc was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Shivani Phanse Dpm Inc · NPI 1609674639
Podiatrist organization in San Diego, California. Organization record, active in the CMS NPPES registry since March 5, 2025.
## Identity
- **NPI:** 1609674639 (Entity type: Organization)
- **Enumerated:** March 5, 2025
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Shivani Phanse, CEO
## Practice location
- **Address:** 10727 SANTA TOMASA AVE, San Diego, CA 92127-3309
- **Phone:** (510) 371-2359
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609674639) · Data from the CMS NPPES public registry.