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SHIVANI JAGDISH PATEL DPM
NPI 1992490684
Podiatrist - Foot & Ankle Surgery in Norcross, GA

Active since April 07, 2023PECOS Enrolled
5635 PEACHTREE PKWY STE 100, NORCROSS, GA 30092(770) 368-6215(770) 368-6261 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 16, 2026, Apr 7, 2023 (2 updates tracked since 2023).

About Shivani Jagdish Patel Dpm NPPES

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

SHIVANI JAGDISH PATEL DPM (NPI 1992490684) is an individual foot & ankle surgery provider in Norcross, Georgia, licensed in Georgia (POD305030) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992490684
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameSHIVANI JAGDISH PATELCredential: DPM
Location Address5635 PEACHTREE PKWY STE 100Norcross, GA 30092-2823
Mailing Address1975 Highway 54 W Ste 205Peachtree City, GA 30269-4794 · (770) 716-8732 · Fax (770) 487-1204
Phone(770) 368-6215
Fax(770) 368-6261
Sole ProprietorYes
Enumeration DateApril 7, 2023
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1992490684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD305030
5635 PEACHTREE PKWY STE 100, Norcross, GA 30092
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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)

Shivani Jagdish Patel Dpm 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.

Other Providers at the Same Location NPPES

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

ADAM DEAN PORT
Podiatrist (Foot & Ankle Surgery)
5635 PEACHTREE PKWY STE 100
NORCROSS, GA 30092
Gwinnett County (770) 368-6215

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 Patel's NPI number?

The NPI number for Shivani Patel is 1992490684. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Shivani Patel located?

Shivani Patel practices at 5635 Peachtree Pkwy Ste 100, Norcross, GA 30092. The listed phone number is (770) 368-6215.

What is Shivani Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shivani Patel enrolled in Medicare?

Yes. Shivani Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivani Patel was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.