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SHIVUM ABHINANDAN DESAI
NPI 1902592520
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since April 17, 2023PECOS Enrolled
22250 PROVIDENCE DRIVE 6 PMB, SUITE #601, SOUTHFIELD, MI 48075(248) 569-7745 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shivum Abhinandan Desai NPPES

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

SHIVUM ABHINANDAN DESAI (NPI 1902592520) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902592520
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHIVUM ABHINANDAN DESAI
Location Address22250 PROVIDENCE DRIVE 6 PMB, SUITE #601Southfield, MI 48075
Mailing Address22250 Providence Drive 6 Pmb, Suite #601Southfield, MI 48075
Phone(248) 569-7745
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 16, 2023
✔ NPI 1902592520 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.
22250 PROVIDENCE DRIVE 6 PMB, Southfield, MI 48075
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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)

Shivum Abhinandan Desai 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.

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 Shivum Desai's NPI number?

The NPI number for Shivum Desai is 1902592520. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Shivum Desai located?

Shivum Desai practices at 22250 Providence Drive 6 Pmb Suite #601, Southfield, MI 48075. The listed phone number is (248) 569-7745.

What is Shivum Desai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shivum Desai enrolled in Medicare?

Yes. Shivum Desai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivum Desai was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.