Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shivprasad D. Nikam, MD

Individual provider Vascular Surgery Physician · NPI 1740407634

Dr. Shivprasad D. Nikam, MD is a Vascular Surgery in Wilkes Barre, Pennsylvania. Qualified in 1993, 33 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
33
Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone: (570) 820-6020
Fax: (570) 821-2306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD425982 (PA)

Record details

NPI number1740407634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesPERIPHERAL VASCULAR DISEASE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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