SHIVAM MEDICAL GROUP, PA
NPI 1699112052
Clinic/Center in San Antonio, TX

Active since May 25, 2013CLIA 45D2111813 · Waiver
8518 CULEBRA ROAD, SUITE 107, SAN ANTONIO, TX 78251(210) 910-5550(210) 971-9077 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shivam Medical Group, Pa NPPES

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

SHIVAM MEDICAL GROUP, PA (NPI 1699112052) is a healthcare organization registered as a clinic/center in San Antonio, Texas and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Nishi Thakur, Provider, as its authorized official.

NPPES Registry Identity

NPI1699112052
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHIVAM MEDICAL GROUP, PA
Location Address8518 CULEBRA ROAD, SUITE 107San Antonio, TX 78251
Mailing Address8518 Culebra Road, Suite 107San Antonio, TX 78251 · (210) 910-5550 · Fax (210) 971-9077
Fax(210) 971-9077
Organization SubpartNo
Authorized OfficialNishi ThakurProvider · (210) 910-5550
Enumeration DateMay 25, 2013
Last NPPES UpdateJune 25, 2024
NPI 1699112052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in TX · L2392
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8518 CULEBRA ROAD, San Antonio, TX 78251

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2111813

Shivam Medical Group PA · San Antonio, TX
Active · expires Apr 14, 2028
CLIA Number45D2111813
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorNishi Thakur
Laboratory Phone(210) 910-5550
Laboratory LocationShivam Medical Group PA8518 Culebra Road, Suite #107, San Antonio, TX 78251
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
8518 CULEBRA ROAD, SUITE 107
SAN ANTONIO, TX 78251

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 Shivam Medical Group, PA's NPI number?

The NPI number for Shivam Medical Group, PA is 1699112052. It was assigned to this organization in the NPPES registry on May 25, 2013.

Where is Shivam Medical Group, PA located?

Shivam Medical Group, PA is located at 8518 Culebra Road Suite 107, San Antonio, TX 78251. The listed phone number is (210) 910-5550.

What is Shivam Medical Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Shivam Medical Group, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2111813) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shivam Medical Group, PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Shivam Medical Group, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shivam Medical Group, PA was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.