SHIVANI MATTIKALLI MD
NPI 1649071721
Student in an Organized Health Care Education/Training Program in Baltimore, MD
About Shivani Mattikalli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIVANI MATTIKALLI MD (NPI 1649071721) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shivani Mattikalli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Mattikalli's NPI number?
The NPI number for Shivani Mattikalli is 1649071721. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Shivani Mattikalli located?
Shivani Mattikalli practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6110.
What is Shivani Mattikalli's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shivani Mattikalli enrolled in Medicare?
Yes. Shivani Mattikalli is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shivani Mattikalli was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 Mattikalli, MD · NPI 1649071721
Student in an Organized Health Care Education/Training Program provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1649071721 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-6110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649071721) · Data from the CMS NPPES public registry.