Shivani Pereira, NP, MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2310452 Issued in MA

Practice address

411 Chandler St
Worcester, MA 01602-3339

Phone

(508) 471-5600

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shivani Kanu Patel Former name

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shivani.pereira.1@24804.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • Gilford, NH
  • NPI 1285388546
  Medicare reassignment Care Compare group NPD
• Northeast Medical Consultants PC

  • Interventional Pain Medicine Physician
  • Barrington, NH
  • NPI 1215946181
  Medicare reassignment NPD
• Lotus Addiction Recovery and Wellness

  • Adult Health Nurse Practitioner
  • Manchester, NH
  • NPI 1205760543
  NPD Authorized official
• Rye Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Rye, NH
  • NPI 1336562156
  NPD
• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • W Springfield, MA
  • NPI 1316253875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1013435544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHANDLER STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023339",
            "telephone_number": "508-471-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "SHIVANI",
        "name_prefix": "Mrs.",
        "credential": "NP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2310452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIVANI",
            "last_name": "PATEL",
            "middle_name": "KANU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori A. Perch, MSW,LICSW
• Rolando A. Perea Jr., N.P.
• Christopher Anthony Pereira, CRNA
• Datson Marian Pereira, M.B.B.S.
• Rebecca Pereira
• Dinukie-Chantal Perera, MD
• Perez Behavioral Health & Consultation, LLC
• Carolina Isabel Perez Carrion, MD
• Yamilex Perez Figuereo
• Ingrid D. Perez Hernandez, M.S.

• Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.