Shivani Doctor, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002305 Issued in VA

Practice address

550 Broadview Ave Ste 102
Warrenton, VA 20186-2036

Phone

(888) 628-8272

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mountain Spring Vascular LLCGroup PAC ID 2062826316, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shivani.doctor.1@23046.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Spring Vascular LLC

  • Vascular & Interventional Radiology Physician
  • Warrenton, VA
  • NPI 1639770621
  Medicare reassignment Care Compare group NPD
• Radiologic Associates of Fredericksburg LTD

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
  • NPI 1699711093
  Medicare reassignment
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment
• Mountain Spring Vascular LLC

  • Vascular & Interventional Radiology Physician
  • Nottingham, MD
  • NPI 1023807567
  NPD
• Virginia Cardiovascular Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fredericksburg, VA
  • NPI 1871538181
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1154400091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530101",
            "telephone_number": "888-628-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROADVIEW AVE STE 102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862036",
            "telephone_number": "888-628-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Liberia Ave Ste 400A",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201101727",
            "country_code": "US",
            "telephone_number": "888-628-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "SHIVANI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154400091",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahul Dewan, MD
• Rosemary Digiacomo, CRNA
• Carie L Dinneen, MA, CCC-SLP
• Ashutosh B Diwan, MD
• DMV Urgent Care LLC
• Dominion Eye Care, P.C.
• Kelly Domson, MD
• Melinda Jo Donnelly, DC
• Donovan Paving LLC
• Cynthia A Dougherty, MD

• Physician Assistant in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.