DR. SHIVANK GARG (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1952716623

DR. SHIVANK GARG (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MT209814 (PA). The NPI Number for DR. SHIVANK GARG (M.D.) is 1952716623

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHIVANK GARG (M.D.)
NPI
1952716623
Phone
(215) 955-5669
Address
111 SOUTH 11TH ST
Enumeration Date
21 June 2014
Last Update Date
1 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137949338
Graduation Year
2014 (12 years ago)
PAC ID
7810207602
Group Practice PAC ID
1850371865
Professional Enrollment ID
I20190725001060
Address ID
MA011071112SP3350XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

419 RADIATION ONCOLOGY in PA

Provider Addresses for DR. SHIVANK GARG (M.D.)

  • 111 SOUTH 11TH ST

    BODINE CENTER G301

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-5669

    Fax: (215) 955-0412

    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: 2019-07-25

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
I20190725001060IRadiation OncologyMATBD

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
77014Ct guidance for insertion of radiation therapy fields85656$0
77300Calculation of radiation therapy dose23870$0
77427Radiation treatment management, 5 treatment sessions22861$0
77334Design and construction of complex radiation treatment device16547$0
77331Special radiation therapy planning10432$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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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: 1850371865View full group profile
NameSpecialtyState
Radiation OncologyMA
Radiation OncologyPA
Radiation OncologyMA
Radiation OncologyMA

Reviews

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Frequently asked questions

What identifier follows DR. SHIVANK GARG (M.D.) across health systems?
The NPI 1952716623 uniquely identifies DR. SHIVANK GARG (M.D.) in U.S. healthcare data.
Is DR. SHIVANK GARG (M.D.)'s NPI status active today?
Active status means DR. SHIVANK GARG (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. SHIVANK GARG (M.D.) does?
Insurance directories may phrase it differently, but here DR. SHIVANK GARG (M.D.) maps to Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is DR. SHIVANK GARG (M.D.) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, DR. SHIVANK GARG (M.D.) may be relevant to your search.
Who maintains DR. SHIVANK GARG (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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