SHIVAM PATEL – Foot & Ankle Surgery Podiatrist, NPI 1053986992

SHIVAM PATEL is a healthcare provider. based in Artesia, California. specializing in PODIATRY. They hold a License No. 5978 (CA). The NPI Number for SHIVAM PATEL is 1053986992

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
SHIVAM PATEL
NPI
1053986992
Phone
Not provided
Address
PO BOX 782
Enumeration Date
24 May 2021
Last Update Date
9 March 2024

Doctor Profile

Medical School Name
WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Secondary Phone
8188485588
Graduation Year
2021 (5 years ago)
PAC ID
2365985223
Group Practice PAC ID
3971552324
Professional Enrollment ID
I20240619002099
Address ID
CA915054516BU201XXSTXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

Provider Addresses for SHIVAM PATEL

  • PO BOX 782

    ARTESIA, CA 907020782

    Phone:

    Type: Mailing

  • 11301 WILSHIRE BLVD

    LOS ANGELES, CA 900731003

    Phone: (310) 478-3711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-09-29 • Largest payer in this snapshot: Smith+Nephew, Inc. ($126).

Total Amount

$159

General + Research + Ownership

Payments

3

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240619002099IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971552324View full group profile
NameSpecialtyState
P O D I A T R YCA
Podiatry, Sports MedicineCA
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Does SHIVAM PATEL have a public NPI I can cite?
Public records show SHIVAM PATEL under NPI 1053986992.
Should I treat SHIVAM PATEL as an active provider?
Patients and plans typically see SHIVAM PATEL as active in the national extract.
What type of care does SHIVAM PATEL provide?
SHIVAM PATEL's profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to SHIVAM PATEL?
SHIVAM PATEL shows a connection to Artesia, California in registry-derived data.
Can I export SHIVAM PATEL's record?
You can download the official NPPES record; we summarize key fields for readability.

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