DR. SHIVANI VEKARIA M.D.
NPI 1992251144
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newark, DE

Q: What is Shivani Vekaria's NPI number?

The NPI number for Shivani Vekaria is 1992251144. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Shivani Vekaria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Shivani Vekaria was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment

4735 OGLETOWN STANTON RD STE 3201, NEWARK, DE 19713(302) 623-4323(302) 623-4315 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, Jul 8, 2020, Apr 16, 2020 and 3 more (6 updates tracked since 2016).

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About Dr. Shivani Vekaria M.d. NPPES

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

DR. SHIVANI VEKARIA M.D. (NPI 1992251144) is an individual endocrinology, diabetes & metabolism provider in Newark, Delaware, licensed in Delaware (C1-0024998) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2016).

NPPES Registry Identity

NPI1992251144

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SHIVANI VEKARIACredential: M.D.

Location Address4735 OGLETOWN STANTON RD STE 3201Newark, DE 19713-2094

Mailing Address4735 Ogletown Stanton Rd Ste 3201Newark, DE 19713-2094 · (302) 623-4323 · Fax (302) 623-4315

Phone(302) 623-4323

Fax(302) 623-4315

Sole ProprietorYes

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2016

Enumeration DateAugust 28, 2016

Last NPPES UpdateAugust 8, 20226 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1992251144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in DE · C1-0024998✔ Licensed in NJ · 25MA10565800

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License C1-0024998 (DE), 25MA10565800 (NJ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4735 OGLETOWN STANTON RD STE 3201, Newark, DE 19713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. Shivani Vekaria M.d. 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 ID4587992276

PECOS Enrollment IDI20220822000308

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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

312 services289 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

222 services80 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

127 services119 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

62 services58 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

47 services28 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

45 services44 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.

29 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services23 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

16 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

16 services16 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 services14 patients

Hospital Affiliations CMS Care Compare

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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

$131.15 typical visit price

range $57.12 – $173.08

Typical copayment $32.78 (range $14.28 – $43.27)

Most-billed visit code 99204

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

Most-billed visit code 99214

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 4

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

RAAFIA MEMON M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713

New Castle County (302) 623-4323

STEPHANIE M O'CONNOR RD

Dietitian, Registered

4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713

New Castle County (302) 661-3070

MRS. BRITTANY ANNE PRICE RN, BSN, MSN

Registered Nurse (Diabetes Educator)

4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713

New Castle County (302) 623-4697

ALEXANDRA QUINN NURSE PRACTITIONER

Nurse Practitioner

4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713

New Castle County (302) 623-4323

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 Vekaria's NPI number?

The NPI number for Shivani Vekaria is 1992251144. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Shivani Vekaria located?

Shivani Vekaria practices at 4735 Ogletown Stanton Rd Ste 3201, Newark, DE 19713. The listed phone number is (302) 623-4323.

What is Shivani Vekaria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shivani Vekaria enrolled in Medicare?

Yes. Shivani Vekaria 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 Shivani Vekaria accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Shivani Vekaria 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.

Is Shivani Vekaria affiliated with any hospitals?

According to CMS data, Shivani Vekaria is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Shivani Vekaria was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.