SHIVALI KANAL PA-C
NPI 1861009482
Physician Assistant in Lexington, KY

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment
1720 NICHOLASVILLE RD STE 500, LEXINGTON, KY 40503(859) 278-1114(859) 277-0541 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Sep 11, 2024, Jul 13, 2023 and 1 more (4 updates tracked since 2020).

About Shivali Kanal Pa-c NPPES

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

SHIVALI KANAL PA-C (NPI 1861009482) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA3464) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861009482
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHIVALI KANALCredential: PA-C
Location Address1720 NICHOLASVILLE RD STE 500Lexington, KY 40503-1487
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 277-0541
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1861009482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA3464 Licensed in IL · 085009409
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1720 NICHOLASVILLE RD STE 500, Lexington, KY 40503

Secondary Practice Locations 3

Location 1230 Fountain Ct Ste 230Lexington, KY 40509-1897 · Phone (859) 977-5335 · Fax (859) 977-5340
Location 21012 Ival James Blvd Ste BRichmond, KY 40475-8278 · Phone (859) 624-3615
Location 3200 Bevins Ln Ste AGeorgetown, KY 40324-8532 · Phone (502) 863-9007 · Fax (502) 863-9008

Other Identifiers 1

Medicaid7101021470KY

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

Shivali Kanal Pa-c 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 ID5294145322
PECOS Enrollment IDI20241025003577
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 4

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
27 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients
Dilation of nasal sinus using an endoscope 31295
Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 5

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

Audiologist
1720 NICHOLASVILLE RD STE 500
LEXINGTON, KY 40503
Otolaryngology
1720 NICHOLASVILLE RD STE 500
LEXINGTON, KY 40503
Audiologist
1720 NICHOLASVILLE RD STE 500
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 500
LEXINGTON, KY 40503
Audiologist
1720 NICHOLASVILLE RD STE 500
LEXINGTON, KY 40503

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 Kanal's NPI number?

The NPI number for Shivali Kanal is 1861009482. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Shivali Kanal located?

Shivali Kanal practices at 1720 Nicholasville Rd Ste 500, Lexington, KY 40503. The listed phone number is (859) 278-1114.

What is Shivali Kanal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shivali Kanal enrolled in Medicare?

Yes. Shivali Kanal 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.

Is Shivali Kanal affiliated with any hospitals?

According to CMS data, Shivali Kanal is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Shivali Kanal was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.