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SHIVANI SANJAY KOTHARI
NPI 1740074426
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 07, 2025PECOS Enrolled
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-6916 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2026, Apr 7, 2025 (2 updates tracked since 2025).

About Shivani Sanjay Kothari NPPES

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

SHIVANI SANJAY KOTHARI (NPI 1740074426) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740074426
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHIVANI SANJAY KOTHARI
Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Phone(612) 625-6916
Sole ProprietorNo
Enumeration DateApril 7, 2025
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1740074426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE ST SE, Minneapolis, MN 55455
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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 Sanjay Kothari is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. JESSICA S GREENBERG M.S.
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 484
MINNEAPOLIS, MN 55455
Hennepin County (952) 924-8053
MS. BONNIE SUSAN LEROY MS, CGC
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485, UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-7193
DR. WINSTON P CAVERT MD
Internal Medicine (Infectious Disease)
420 DELAWARE ST SE, MMC 88
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9130
MS. JOLINE CHRISTINE DALTON M.S.
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 206
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7967
MR. MATTHEW AARON BOWER M.S., C.G.C.
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-8948
MS. CINDY PHAM LORENTZ M.S.
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-6467
M UMAR HASAN CHOUDRY M.D.
Plastic Surgery
420 DELAWARE ST SE, MMC 122
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-0697
MARK R GAVIN M.D.
Internal Medicine
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-0123

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 Kothari's NPI number?

The NPI number for Shivani Kothari is 1740074426. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Shivani Kothari located?

Shivani Kothari practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-6916.

What is Shivani Kothari'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 Kothari enrolled in Medicare?

Yes. Shivani Kothari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivani Kothari was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.