Individual provider Active NPI

Shivam Patel

  • Anesthesiologist Assistant
  • Miami, FL
National Provider Identifier
1871370965
Registry record updated Oct 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA836 Issued in FL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(305) 854-4400
NPI assigned
Sep 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X AA836 FL
Anesthesiologist Assistant 367H00000X AA836 FL Primary

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

510 Madeira Ave
Coral Gables, FL 33134-4237
Phone (305) 766-5485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231129002427 FL Practitioner - Anesthesiology Assistant 9638527765 Reassigns benefits to 2 organizations
I20241217001034 TX Practitioner - Anesthesiology Assistant 9638527765 Reassigns benefits to 1 organization
I20260316003052 GA Practitioner - Anesthesiology Assistant 9638527765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Greater Florida Anesthesiologists LLCGroup PAC ID 3173711017, 315 clinicians

Practice addresses (Care Compare)

1255 Hwy 54 W
Fayetteville, GA 30214
Phone (770) 719-7000

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 271-6000

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (954) 393-5000

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (954) 939-5000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-2000

900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
AA836FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Dec 5, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Dec 30, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Dec 5, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Mar 6, 2026 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696636800000",
    "number": "1871370965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MADEIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344237",
            "telephone_number": "305-766-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-854-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "AA836",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.