DR. SHIVALI P DESAI OD
NPI 1780939041
Optometrist in Charlotte, NC

Active since July 23, 2012PECOS EnrolledAccepts Medicare Assignment
91.16/100
CMS Quality Rating
2015 RANDOLPH RD STE 108, CHARLOTTE, NC 28207(704) 334-2020(833) 231-6851 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2020, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. Shivali P Desai Od NPPES

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

DR. SHIVALI P DESAI OD (NPI 1780939041) is an individual optometrist in Charlotte, North Carolina, licensed in North Carolina (2400) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Missouri St Louis - School Of Optometry (2012).

NPPES Registry Identity

NPI1780939041
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHIVALI P DESAICredential: OD
Location Address2015 RANDOLPH RD STE 108Charlotte, NC 28207-1200
Mailing Address4101 Campus Ridge RdMatthews, NC 28105-5077 · (704) 234-1930 · Fax (833) 233-6851
Fax(833) 231-6851
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2012
Enumeration DateJuly 23, 2012
Last NPPES UpdateDecember 21, 20202 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1780939041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NC · 2400 Licensed in SC · 1721
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2015 RANDOLPH RD STE 108, Charlotte, NC 28207

Secondary Practice Locations 3

Location 18816 University East Dr Ste CCharlotte, NC 28213-4109 · Phone (704) 547-8730 · Fax (833) 231-6851
Location 24101 Campus Ridge RdMatthews, NC 28105-5077 · Phone (704) 234-1930 · Fax (833) 233-6851
Location 3630 Comfort Ln Ste EMonroe, NC 28112-6493 · Phone (704) 289-5455 · Fax (704) 291-2207

Accepted 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

Dr. Shivali P Desai Od 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 ID9436301207
PECOS Enrollment IDI20121203000001
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost70.55

Other Providers at the Same Location NPPES 2

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

Eyewear Supplier
2015 RANDOLPH RD STE 108
CHARLOTTE, NC 28207
Eyewear Supplier
2015 RANDOLPH RD STE 108
CHARLOTTE, NC 28207

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 Shivali Desai's NPI number?

The NPI number for Shivali Desai is 1780939041. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Shivali Desai located?

Shivali Desai practices at 2015 Randolph Rd Ste 108, Charlotte, NC 28207. The listed phone number is (704) 334-2020.

What is Shivali Desai's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shivali Desai enrolled in Medicare?

Yes. Shivali Desai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shivali Desai accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Shivali Desai 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 Shivali Desai was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.