Individual provider Active NPI

Rakesh Shrivastava, MD

  • Cardiovascular Disease Physician
  • Edmond, OK
National Provider Identifier
1043250863
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27981 Issued in OK
Practice address
105 S Bryant Ave Ste 101
Edmond, OK 73034-6330
Phone
(405) 861-0004
Fax
(855) 680-8890
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 27981 OK
Cardiovascular Disease Physician 207RC0000X 27981 OK Primary

Addresses

Primary practice location

105 S Bryant Ave Ste 101
Edmond, OK 73034-6330

Mailing address

PO Box 8350
Edmond, OK 73083-8350
Phone (405) 861-0004

Other identifiers 6

IdentifierTypeStateIssuer
000924679001OtherHEALTHNOW
MDG288OtherPREFERRED CARE MCO
P010001487OtherBLUE CHOICE MCO
P010001487OtherMONROE PLAN
107177BJOtherPREFERRED CARE MCO
9704619OtherGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000332 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2466354063 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Bryant Ave
Suite 101
Edmond, OK 73034-6330
Phone (405) 622-3063

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.42 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
15.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospitalist Group PLLC Internal Medicine CurrentSince Dec 30, 2018 Accepting new patients
Shoolin LLC Internal Medicine CurrentSince Sep 9, 2017 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 25, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 17, 2025 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 25, 2024 Accepting new patients
Great Plains Cardiology LLC Cardiovascular Disease CurrentSince Dec 15, 2021 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 25, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 17, 2025 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 25, 2024 Accepting new patients
Ark-la-Tex Cardiology, Apmc Cardiovascular Disease PastSince Mar 1, 1991 Accepting new patients
Rha Stroud Inc Past Accepting new patients
Advanced Cardiovascular Specialists Cardiovascular Disease PastSince Jul 1, 2017 Accepting new patients
WK South Hospitalists PastSince Jul 1, 2008 Accepting new patients
Summit Medical Center Past Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Internal Medicine Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

105 S Bryant Ave
Ste 101
Edmond, OK 73034
Phone (405) 622-3063

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

Dept 960617
Oklahoma City, OK 73196

4300 W Memorial Rd
Fl 2
Oklahoma City, OK 73120
Phone (405) 341-8150

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1900 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-2240

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: rakeshshrivastava@rwhfairfax.medalliesdirect.net
  • Direct secure messaging: rshrivastava103081@ouhealth.direct-ci.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shrivasr@yourcarecommunity.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1043250863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730838350",
            "telephone_number": "405-861-0004",
            "fax_number": "855-680-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346330",
            "telephone_number": "405-861-0004",
            "fax_number": "855-680-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "RAKESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "27981",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "27981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000924679001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE MCO",
            "identifier": "MDG288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE MCO",
            "identifier": "P010001487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "P010001487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE MCO",
            "identifier": "107177BJ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9704619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.