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

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: July 19, 2026.

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

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
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)
4735 OGLETOWN STANTON RD STE 3201, Newark, DE 19713

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. 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 2024 & 2026 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
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.
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

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.

Nurse Practitioner
4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713
Dietitian, Registered
4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713
Registered Nurse (Diabetes Educator)
4735 OGLETOWN STANTON RD STE 3201
NEWARK, DE 19713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992251144, enumerated as an "individual" on August 28, 2016.

The provider is located at 4735 OGLETOWN STANTON RD STE 3201 NEWARK, DE 19713 and the phone number is (302) 623-4323.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.

Shivani Vekaria is affiliated with: CHESTER COUNTY HOSPITAL.