Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shivani Patel

Individual provider Physician Assistant · NPI 1669356721

Shivani Patel is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

507 N 17th St
Milwaukee, WI 53233-2104
Phone: (414) 288-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669356721
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedAugust 2, 2025
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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