Shivani Doctor, P.A.
NPI 1154400091 · Physician Assistant · Warrenton, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivani Doctor, P.A. is a Physician Assistant provider in Warrenton, VA (NPI 1154400091).
Provider details
- NPI number
- 1154400091
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 0110002305 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
160 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 56 | $40 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 39 | $137 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 27 | $148 |
| Aspiration of Fluid From Chest Cavity Using Imaging Guidance32555 | 19 | $87 |
| Drainage of Fluid From Abdominal Cavity Using Imaging Guidance49083 | 19 | $80 |
Typical Medicare-allowed amounts for these services range $40–$148 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$96 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1001 Sam Perry BlvdFredericksburg, VA 22401-4453Phone: (540) 361-1000Fax: (540) 361-7010
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Shivani Doctor's NPI number?
- Shivani Doctor's National Provider Identifier (NPI) is 1154400091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivani Doctor's specialty?
- Shivani Doctor is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shivani Doctor located?
- Shivani Doctor's practice location on file with NPPES is 550 Broadview Ave Ste 102, Warrenton, VA 20186-2036.
- What is Shivani Doctor's phone number?
- The practice phone number listed in the NPPES registry for Shivani Doctor is (888) 628-8272.
- Does Shivani Doctor accept Medicare?
- Shivani Doctor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivani Doctor's NPI active?
- Yes — Shivani Doctor's NPI (1154400091) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.