SHIVANI SHAH – Physician Assistant, NPI 1386206381

SHIVANI SHAH is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.006244RX (OH). The NPI Number for SHIVANI SHAH is 1386206381

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SHIVANI SHAH
NPI
1386206381
Phone
(813) 974-8926
Address
12901 Bruce B Downs Blvd., MDC5
Enumeration Date
1 July 2019
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2165454800
Graduation Year
2019 (7 years ago)
PAC ID
4880029040
Group Practice PAC ID
2365789559
Professional Enrollment ID
I20200115002695
Address ID
OH441225603BE25501BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for SHIVANI SHAH

  • 12901 Bruce B Downs Blvd., MDC5

    Tampa, FL 336124742

    Phone: (813) 974-8926

    Type: Location

  • 9500 Euclid Ave

    Cleveland, OH 44195

    Phone: (216) 444-0181

    Type: Location

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200115002695IPhysician AssistantOHTBD
I20250909004767IPhysician AssistantNYTBD

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 33612)

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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: 2365789559View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Where can patients find SHIVANI SHAH's NPI?
You can confirm SHIVANI SHAH with NPI 1386206381; it appears in the national provider directory.
Is SHIVANI SHAH active in the national directory?
SHIVANI SHAH's public NPI profile is in an active state.
What does SHIVANI SHAH treat or focus on?
Patients typically see SHIVANI SHAH under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHIVANI SHAH?
The page summarizes Tampa, Florida for SHIVANI SHAH; expand the address list for detail.
How can I contact SHIVANI SHAH?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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