SHIVAM HASMUKH PATEL MD
NPI 1679035018
Ophthalmology in Indianapolis, IN

Q: What is Shivam Patel's NPI number?

The NPI number for Shivam Patel is 1679035018. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Shivam Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shivam Patel was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 04, 2019PECOS EnrolledAccepts Medicare Assignment

1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202(317) 962-8881 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2023, Apr 4, 2019 (2 updates tracked since 2019).

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About Shivam Hasmukh Patel Md NPPES

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

SHIVAM HASMUKH PATEL MD (NPI 1679035018) is an individual ophthalmology provider in Indianapolis, Indiana, licensed in Indiana (01090571A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Saint Louis University School Of Medicine (2019).

NPPES Registry Identity

NPI1679035018

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameSHIVAM HASMUKH PATELCredential: MD

Location Address1633 N CAPITOL AVE STE 640Indianapolis, IN 46202-1281

Mailing Address1633 N Capitol Ave Ste 640Indianapolis, IN 46202-1281 · (317) 962-8881

Phone(317) 962-8881

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateJune 12, 20232 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1679035018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IN · 01090571A

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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

1633 N CAPITOL AVE STE 640, Indianapolis, IN 46202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Shivam Hasmukh Patel 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 ID6406189356

PECOS Enrollment IDI20250729000643

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

29 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

MYCHAEL SPENCER

Student in an Organized Health Care Education/Training Program