DR. KIRAN SHIVARAJ – Nephrology Physician, NPI 1205350097
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
797 NEPHROLOGY in FL
Provider Addresses for DR. KIRAN SHIVARAJ
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 321142709
Phone: (386) 425-4000
Type: Location
1 BROOKDALE PLZ
BROOKLYN, NY 112123139
Phone: (718) 240-5000
Type: Mailing
100 WOODS RD
VALHALLA, NY 105951530
Phone: (908) 723-0075
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($54).
Total Amount
$147
General + Research + Ownership
Payments
5
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $54 |
| Mallinckrodt Hospital Products Inc. | $33 |
| Amgen Inc. | $31 |
| Kyowa Kirin, Inc. | $29 |
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: 2024-07-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240703000061 | I | Nephrology | FL | 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 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| U R O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| Family Practice | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| - | - | |
| Emergency Medicine | FL | |
| Nurse Practitioner | TN |
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