Active NPI
Shivkumar Shivappa Hatti, MD., MBA
- Psychiatry Physician
- Media, PA
National Provider Identifier
1841297975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD037729L
- Practice address
- 107 Chesley Dr
Unit 4
Media, PA 19063-1760 - Phone
- (610) 891-9024
- Fax
- (610) 891-9699
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD037729L | PA | Primary |
Addresses
Primary practice location
107 Chesley Dr
Unit 4
Media, PA 19063-1760
Mailing address
107 Chesley Dr
Unit 4
Media, PA 19063-1760
Phone (610) 891-9024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 847252 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037729L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841297975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHESLEY DR",
"address_2": "UNIT 4",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-891-9024",
"fax_number": "610-891-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHESLEY DR",
"address_2": "UNIT 4",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-891-9024",
"fax_number": "610-891-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTI",
"first_name": "SHIVKUMAR",
"middle_name": "SHIVAPPA",
"name_prefix": "Dr.",
"credential": "MD., MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD037729L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "847252",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.