Shivam Patel, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD444564 Issued in PA

Practice address

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027

Phone

(570) 808-7300

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Diagnostic Radiology

Education

Jefferson Medical College of Thomas Jefferson University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
• Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
• Geisinger Medical Center Hospital, Danville, PA, CCN 390006
• Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003
• Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spatel110099@direct.geisinger.edu

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment Care Compare group NPD
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Lock Haven, PA
  • NPI 1144876137

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1942602537
  NPD
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1073075909
  NPD

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

• Community Medical Center

  • Clinic/Center
  • Scranton, PA
  • NPI 1285032128

  Hospital

  Care Compare affiliation
• Community Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Scranton, PA
  • NPI 1306439856

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  Care Compare affiliation
• Community Medical Center

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1770960130

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1972652063
  Care Compare affiliation
• Geisinger Bloomsburg Hospital

  • General Acute Care Hospital
  • Bloomsburg, PA
  • NPI 1629688429
  Care Compare affiliation
• Geisinger Bloomsburg Hospital

  • General Acute Care Hospital
  • Bloomsburg, PA
  • NPI 1821198755
  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Clinic/Center
  • Lewistown, PA
  • NPI 1265207187

  Hospital

  Care Compare affiliation
• Geisinger Lewistown Hospital

  • General Acute Care Hospital
  • Lewistown, PA
  • NPI 1497338313
  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Radiology Clinic/Center
  • Mifflintown, PA
  • NPI 1609263946

  Hospital

  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Radiology Clinic/Center
  • Lewistown, PA
  • NPI 1689061921

  Hospital

  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Mobile Radiology Clinic/Center
  • Lewistown, PA
  • NPI 1750778981

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1275735235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C7-0003758",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD444564",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD444564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE ACGME TRAINING LICENCE",
            "identifier": "C7-0003758",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel110099@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 E Mountain Dr",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187110027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie J Patel, D.O.
• Nima Patel, PA-C
• Paresh Patel, RPH
• Priya Kamlesh Patel
• Satish D Patel, MD
• Trina Patel
• Chris Patton, PHARM D
• Koushik Paul
• Kenneth Patrick Paulish
• Brittany Paulson, CRNP

• Diagnostic Radiology Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.