SHIVAM PATEL – Optometrist, NPI 1053829424

SHIVAM PATEL is a healthcare provider. based in Sanford, Florida. specializing in OPTOMETRY. They hold a License No. OPC5480 (FL). The NPI Number for SHIVAM PATEL is 1053829424

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SHIVAM PATEL
NPI
1053829424
Phone
(407) 391-3327
Address
1920 SAN JACINTO CIR
Enumeration Date
18 January 2018
Last Update Date
18 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867344431
Graduation Year
2017 (9 years ago)
PAC ID
2860754587
Group Practice PAC ID
9830197623
Professional Enrollment ID
I20180316001742
Address ID
FL327203255DE801XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for SHIVAM PATEL

  • 1920, San Jacinto Circle, Flagship Park, Sanford, Seminole County, Florida, 32771, United States

    SANFORD, FL 327716387

    Phone: (407) 391-3327

    Type: Mailing

  • 100, Mason Avenue, Daytona Beach, Volusia County, Florida, 32117, United States

    DAYTONA BEACH, FL 321175116

    Phone: (386) 274-5525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Vision LLC ($385).

Total Amount

$405

General + Research + Ownership

Payments

17

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2018-03-16

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
I20180316001742IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8553$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
92133Imaging of optic nerve1918$0
92083Exam of visual field with extended testing1212$0
92202Extended exam of the back part of the eye with optic nerve drawing1211$0
View full utilization report →

Insurance plans in this area (ZIP 32771)

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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: 9830197623View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is SHIVAM PATEL's NPI number?
SHIVAM PATEL's NPI is 1053829424 — the number used across U.S. healthcare to identify this provider.
Is SHIVAM PATEL shown as active in public data?
Registry records indicate SHIVAM PATEL maintains an active NPI.
What area of care is associated with SHIVAM PATEL?
SHIVAM PATEL's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is SHIVAM PATEL registered?
Use Sanford, Florida as the headline location for SHIVAM PATEL here.
Does SHIVAM PATEL accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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