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

Individual provider Physician Assistant · NPI 1154400091

Shivani Doctor, PA is a Physician Assistant in Warrenton, Virginia. Qualified in 2001, 25 years ago. Practices with Mountain Spring Vascular LLC, a 30-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
25
Licensed in
VA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

550 Broadview Ave Ste 102
Warrenton, VA 20186-2036
Phone: (888) 628-8272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 — (540) 361-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002305 (VA)

Record details

NPI number1154400091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mountain Spring Vascular Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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