Individual provider Active NPI

Shivani S Shinde, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Thornton, CO
National Provider Identifier
1689835191
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
57470 Issued in CO
Practice address
9501 Huron Street
Nat'L Jewish Northern Oncology
Thornton, CO 80260-0001
Phone
(303) 650-4042
Fax
(303) 650-4046
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125055146 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 57470 CO Primary
Hematology & Oncology Physician 207RH0003X 106927 MN

Addresses

Primary practice location

9501 Huron Street
Nat'L Jewish Northern Oncology
Thornton, CO 80260-0001

Mailing address

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 388-4461

Other identifiers 1

IdentifierTypeStateIssuer
FS2557695OtherCORX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20190813000974 UT Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - HematologyPractitioner - Medical Oncology 8426215336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hospice/Palliative Care
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Suite 610
Murray, UT 84107-5704
Phone (801) 507-3630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125055146ILMDInternal Medicine Physician
57470COMDHospice and Palliative Medicine (Internal Medicine) Physician
106927MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Aug 31, 2019 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 31, 2019 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3741 W 12600 S
Ste 340
Riverton, UT 84065
Phone (801) 285-4750

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

5171 S Cottonwood St
Ste 610
Salt Lake City, UT 84107
Phone (801) 507-3630

9660 S 1300 E
Fl 4
Sandy, UT 84094
Phone (801) 501-2155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1689835191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062761",
            "telephone_number": "303-388-4461",
            "fax_number": "303-270-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 HURON STREET",
            "address_2": "NAT'L JEWISH NORTHERN ONCOLOGY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802600001",
            "telephone_number": "303-650-4042",
            "fax_number": "303-650-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "SHIVANI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125055146",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "57470",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "106927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX",
            "identifier": "FS2557695",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.