NPIMap

Organization Active NPI

Shivani H Patel, PA

  • Interventional Pain Medicine Physician
  • Carrollton, TX
National Provider Identifier
1902091614
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
M0523 Issued in TX
Legal business name
SHIVANI H PATEL, PA
Practice address
2501 E Hebron Pkwy
Carrollton, TX 75010-4403
Phone
(972) 300-4171
NPI assigned
Sep 6, 2007
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Shivani H. Patel, M.D.NPI 1508938556
Title
President
Phone
(972) 300-4171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X M0523 TX
Interventional Pain Medicine Physician 208VP0014X M0523 TX Primary

Addresses

Primary practice location

2501 E Hebron Pkwy
Carrollton, TX 75010-4403

Mailing address

2501 E Hebron Pkwy
Suite 500
Carrollton, TX 75010-4403
Phone (972) 300-4171

Other identifiers 1

IdentifierTypeStateIssuer
0017QHOtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1902091614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E HEBRON PKWY",
            "address_2": "SUITE 500",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104403",
            "telephone_number": "972-300-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E HEBRON PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104403",
            "telephone_number": "972-300-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVANI H PATEL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-300-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M0523",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M0523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0017QH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.