Active NPI
Shivani Patel Thackar, DO
- Addiction Medicine (Internal Medicine) Physician
- Tampa, FL
National Provider Identifier
1386271336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- OS22612
- Practice address
- 10213 Waterside Oaks Dr
Tampa, FL 33647-3194 - Phone
- (813) 482-1508
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | OS22612 | FL | Primary |
Addresses
Primary practice location
10213 Waterside Oaks Dr
Tampa, FL 33647-3194
Mailing address
10213 Waterside Oaks Dr
Tampa, FL 33647-3194
Phone (813) 482-1508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS22612 | FL | MD | Addiction Medicine (Internal Medicine) Physician |
Interoperability endpoints
- shivani.patel@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1386271336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10213 WATERSIDE OAKS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473194",
"telephone_number": "813-482-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10213 WATERSIDE OAKS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473194",
"telephone_number": "813-482-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKAR",
"first_name": "SHIVANI",
"middle_name": "PATEL",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "OS22612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.