SHIVAM MANOJ PATEL (MD) – Emergency Medicine Physician, NPI 1083292544

Emergency Medicine Physician

SHIVAM MANOJ PATEL (MD) is a healthcare provider. based in Newark, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD490697 (PA). The NPI Number for SHIVAM MANOJ PATEL (MD) is 1083292544

Main info

Male

5 Years Of Experience

Accepts Medicare Assignment

Name

SHIVAM MANOJ PATEL (MD)

NPI

1083292544

Phone

(732) 445-4636

Address

185 S ORANGE AVE

Enumeration Date

29 March 2021

Last Update Date

24 July 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6077985111

Graduation Year

2021 (5 years ago)

PAC ID

4789196064

Group Practice PAC ID

7012913916

Professional Enrollment ID

I20250819000089

Address ID

NY139054246BI169XXDRXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness85

Years active:5State licenses:2Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

Provider Addresses for SHIVAM MANOJ PATEL (MD)

185 S ORANGE AVE
NEWARK, NJ 071032757
Phone: (732) 445-4636
Mailing address matches the actual address.

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: 2025-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20250623002855	I	Emergency Medicine	PA	TBD
I20250819000089	I	Emergency Medicine	NY	TBD
I20251229003384	I	Emergency Medicine	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.

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 07103)

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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: 7012913916View full group profile

Name	Specialty	State
DR. DANA N COWLES (DO)	Emergency Medicine	FL
DR. RYAN DAVIDSON HILL (D.O.)	Emergency Medicine	NY
TUDIE ANN ROXNEE HENRY (MD)	Emergency Medicine	NY
DR. ALAN S. MILLER (MD)	Emergency Medicine	CT
DR. JAMES L DISTIN (D.O.)	Emergency Medicine	NY
DR. JASON LEE FIDEL (DO)	Emergency Medicine	NY
DR. MICHAEL BERNARD VALLETTA (D.O.)	Emergency Medicine	FL
DR. JESSICA LAUREN EDE (M.D.)	Emergency Medicine	MI
MUHAMMED ERSHAD	Emergency Medicine	MI
DR. ZEV SAMUEL WIMPFHEIMER (MD)	-	NJ

Reviews

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Frequently asked questions

What unique ID ties claims to SHIVAM MANOJ PATEL (MD)?

NPI 1083292544 is assigned to SHIVAM MANOJ PATEL (MD) under the national enumeration system.

Does this profile mean SHIVAM MANOJ PATEL (MD) is currently active?

Yes — SHIVAM MANOJ PATEL (MD) appears active in the national provider directory.

Does SHIVAM MANOJ PATEL (MD) list a primary specialty?

If you are matching referrals, note Emergency Medicine Physician for SHIVAM MANOJ PATEL (MD). Clinical services aligned with this taxonomy classification.

What location shows for SHIVAM MANOJ PATEL (MD)?

We surface Newark, New Jersey for SHIVAM MANOJ PATEL (MD) based on available NPPES addresses.

What if Newark, New Jersey seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.