SHIVANI R PATHAK (M.D.) – Otolaryngology Physician, NPI 1962898361

SHIVANI R PATHAK (M.D.) is a healthcare provider. based in Mendham, New Jersey. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0067168 (CO). The NPI Number for SHIVANI R PATHAK (M.D.) is 1962898361

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHIVANI R PATHAK (M.D.)
NPI
1962898361
Phone
(973) 477-7111
Address
10 KINGSBROOK CT
Enumeration Date
13 April 2015
Last Update Date
1 March 2024

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
3037061616
Graduation Year
2015 (11 years ago)
PAC ID
4587970777
Group Practice PAC ID
7012971559
Professional Enrollment ID
I20220817003500
Address ID
CO801245644LO9960XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

227 OTOLARYNGOLOGY in CO

Provider Addresses for SHIVANI R PATHAK (M.D.)

  • 10 KINGSBROOK CT

    MENDHAM, NJ 079452144

    Phone: (973) 477-7111

    Type: Mailing

  • 13001 E. 17TH PLACE

    UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME

    AURORA, CO 80045

    Phone: (303) 724-1957

    Type: Location

  • 9960 SKY RIDGE AVE

    LONE TREE, CO 801245644

    Phone: (303) 706-1616

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,559.

Total Amount is formed as General ($1,559) + Research ($0) + Ownership ($0) = $1,559.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AERIN MEDICAL INC. ($917).

Total Amount

$1,559

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,559

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2022-08-17

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
I20220817003500IOtolaryngologyCOTBD

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 minutes9570$0
99213Established patient office or other outpatient visit, 20-29 minutes8973$0
99203New patient office or other outpatient visit, 30-44 minutes8484$0
69210Removal of impacted ear wax7757$0
99204New patient office or other outpatient visit, 45-59 minutes5050$0
View full utilization report →

Insurance plans in this area (ZIP 07945)

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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: 7012971559View full group profile
NameSpecialtyState
Physician AssistantCO
Otolaryngology, Allergy/ImmunologyCO
Physician AssistantCO
-MI
O T O L A R Y N G O L O G YCO
Otolaryngology, Plastic And Reconstructive SurgeryCO
Qualified AudiologistCO
O T O L A R Y N G O L O G YCO
Physician AssistantCO

Reviews

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Frequently asked questions

Does SHIVANI R PATHAK (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHIVANI R PATHAK (M.D.) uses 1962898361.
Can I rely on SHIVANI R PATHAK (M.D.) being an active provider?
As of the registry snapshot, SHIVANI R PATHAK (M.D.) is marked active.
What healthcare role does SHIVANI R PATHAK (M.D.) hold?
Scheduling teams often label SHIVANI R PATHAK (M.D.) under Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SHIVANI R PATHAK (M.D.)?
SHIVANI R PATHAK (M.D.)'s geographic hint is Mendham, New Jersey in our summary view.
Is the information about SHIVANI R PATHAK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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