Shivani R Pathak, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

DR.0067168 Issued in CO

Practice address

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644

Phone

(303) 706-1616

NPI assigned

Apr 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Otolaryngology

Education

Virginia Commonwealth University, School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Ear Nose and Throat PCGroup PAC ID 7012971559, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Integrated Ear, Nose and Throat, P.C.

  • Otolaryngology Physician
  • Lone Tree, CO
  • NPI 1063624195
  Medicare reassignment Care Compare group NPD
• ENT of Denver, PC

  • Otolaryngology Physician
  • Denver, CO
  • NPI 1972715001
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  • General Acute Care Hospital
  • Lone Tree, CO
  • NPI 1659325629
  Care Compare affiliation

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1962898361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 SKY RIDGE AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245644",
            "telephone_number": "303-706-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 SKY RIDGE AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245644",
            "telephone_number": "303-706-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "SHIVANI",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0067168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parry Endodontics
• Susan L Pash-Lohr, DO
• Devang Patel, M.D.
• Isheet Patel, M.D.
• Rachel Corinne Patel, M.D.
• Cary H Patt, M.D
• Casey Superchi Patterson, PHARMD
• Marissa Paige Patterson, DO
• Peak Energy Performance Therapy, P.C.
• Peak Gastroenterology ASC LLC

• Otolaryngology Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.