SHIVAM MEDICAL GROUP, PA
NPI 1699112052
Clinic/Center in San Antonio, TX
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shivam Medical Group, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Shivam Medical Group, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXFrequently 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.
Is Shivam Medical Group, PA enrolled in Medicare?
Yes. Shivam Medical Group, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shivam Medical Group, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Shivam Medical Group, PA. 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. The largest specialties are Nurse Practitioner (5) and Internal Medicine (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Shivam Medical Group, Pa · NPI 1699112052
Clinic/Center organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since May 25, 2013.
## Identity
- **NPI:** 1699112052 (Entity type: Organization)
- **Enumerated:** May 25, 2013
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Nishi Thakur, PROVIDER
## Practice location
- **Address:** 8518 CULEBRA ROAD, SUITE 107, San Antonio, TX 78251
- **Phone:** (210) 910-5550 · **Fax:** (210) 971-9077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Internal Medicine (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699112052) · Data from the CMS NPPES public registry.