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

Shivam Dixit Patel, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1114551876

Shivam Dixit Patel, DO is a Physical Medicine and Rehabilitation in San Diego, California. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2021, 5 years ago. Works from 3 locations. Licensed in California and Illinois.

Years since qualifying
5
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
CA, IL
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (858) 657-5272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 355 E Erie St, Chicago, IL 60611-3167 — (312) 238-1000
  • 251 E Huron St, Chicago, IL 60611-3055 — (312) 503-7975

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 20A24060 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 125.077520 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114551876
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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