Individual provider Active NPI

Shivani Chawla Mehta, M.D.

  • Family Medicine Physician
  • Milpitas, CA
National Provider Identifier
1659513398
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A123387 Issued in CA
Practice address
1113 S Park Victoria Dr
Milpitas, CA 95035-6942
Phone
(408) 945-0300
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A123387 CA Primary

Addresses

Primary practice location

1113 S Park Victoria Dr
Milpitas, CA 95035-6942

Mailing address

1113 S Park Victoria Dr
Milpitas, CA 95035-6942
Phone (408) 945-0300

Other identifiers 1

IdentifierTypeStateIssuer
P01312625OtherCARAILROAD MEDICARE

Other names 1

  • Shivani Chawla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130403000331 CA Practitioner - Family Practice 3274778790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1113 S Park Victoria Dr
Milpitas, CA 95035-6942

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Medical Clinic, Inc. Family Medicine CurrentSince Feb 8, 2022 Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1113 S Park Victoria Dr
Milpitas, CA 95035
Phone (408) 620-0717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1659513398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356942",
            "telephone_number": "408-945-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356942",
            "telephone_number": "408-945-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA MEHTA",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A123387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01312625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIVANI",
            "last_name": "CHAWLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.