DR. SHIVAM THAKUR (D.O.) – Pulmonary Disease Physician, NPI 1194284075
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
777 INTERNAL MEDICINE in DE
Provider Addresses for DR. SHIVAM THAKUR (D.O.)
4755 OGLETOWN STANTON RD
NEWARK, DE 197182200
Phone:
Type: Mailing
100 E Lancaster Ave
Wynnewood, PA 190963450
Phone: (484) 476-6421
Type: Location
4755 Ogletown Stanton Rd
Newark, DE 197182200
Phone: (302) 733-6338
Type: Location
301 BINGHAM AVE STE B
OCEAN, NJ 077124764
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $339.
Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($129).
Total Amount
$339
General + Research + Ownership
Payments
9
Total payment records
General Amount
$339
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230628002571 | I | Internal Medicine | PA | TBD |
| I20250913000789 | I | Pulmonary Disease | NJ | TBD |
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.
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 19718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NJ | |
| Plastic And Reconstructive Surgery | NJ | |
| P O D I A T R Y | NJ | |
| N E P H R O L O G Y | TN | |
| O P H T H A L M O L O G Y | NJ | |
| Cardiovascular Disease (Cardiology) | NJ | |
| Gastroenterology, Internal Medicine | NJ | |
| N E P H R O L O G Y | NJ | |
| N E P H R O L O G Y | PA | |
| Medical Oncology, Hematology | NJ |
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