Shivani Patel, MD
NPI 1831659580 · Endocrinology, Diabetes & Metabolism Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivani Patel, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Toms River, NJ (NPI 1831659580).
Provider details
- NPI number
- 1831659580
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA12228300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
414 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 179 | $133 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 86 | $17 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 61 | $36 |
| Comprehensive Assessment of and Care Planning for Patients Requiring Chronic Care Management Services (list Separately in Addition to Primary Monthly Care Management Service)G0506 | 41 | $66 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 35 | $228 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Empagliflozinbrand: Jardiance | 59 | 19 |
| Levothyroxine Sodium | 56 | 37 |
| Dulaglutidebrand: Trulicity | 51 | 11 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 35 | 13 |
| Metformin Hcl | 31 | 12 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 31 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$82 across 5 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
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Frequently asked questions
- What is Shivani Patel's NPI number?
- Shivani Patel's National Provider Identifier (NPI) is 1831659580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivani Patel's specialty?
- Shivani Patel is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Shivani Patel located?
- Shivani Patel's practice location on file with NPPES is 780 Route 37 W Ste 110, Toms River, NJ 08755-5059.
- What is Shivani Patel's phone number?
- The practice phone number listed in the NPPES registry for Shivani Patel is (848) 317-8152.
- Does Shivani Patel accept Medicare?
- Shivani Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivani Patel's NPI active?
- Yes — Shivani Patel's NPI (1831659580) is active in the NPPES registry as of the last update on 2026-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.