Individual provider Active NPI

Shivam Hingorani, M.D

  • Geriatric Psychiatry Physician
  • East Norriton, PA
National Provider Identifier
1235119496
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD068125L Issued in PA
Practice address
2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone
(267) 973-2966
Fax
(215) 583-8171
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD068125L PA Primary

Addresses

Primary practice location

2701 Dekalb Pike
East Norriton, PA 19401-1820

Mailing address

853 Nathaniel TRL
Warwick, PA 18974-6145
Phone (267) 973-2966

Other identifiers 1

IdentifierTypeStateIssuer
0186451601MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shingorani@phsi.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000382 PA Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 0749253029 Practice locations: East Norriton, PA; Philadelphia, PA; Warminster, PA

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone (610) 278-2000

5800 Ridge Ave
Philadelphia, PA 19128-1737
Phone (215) 509-6800

Hospital & facility affiliations

  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD068125LPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Pain Management, PC Past Accepting new patients
Delaware Valley Behavioral Health, P.C. Geriatric Psychiatry Past Accepting new patients
Scott a. Fleischer, M.D., P.C. Past Accepting new patients
Prime Healthcare Services Roxborough LLC Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1235119496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 NATHANIEL TRL",
            "city": "WARWICK",
            "state": "PA",
            "postal_code": "189746145",
            "telephone_number": "267-973-2966",
            "fax_number": "215-583-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "267-973-2966",
            "fax_number": "215-583-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINGORANI",
        "first_name": "SHIVAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD068125L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186451601",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shingorani@phsi.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic",
            "address_1": "2701 Dekalb Pike",
            "city": "East Norriton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194011820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.