Active NPI
Rakesh Shrivastava, MD
- Cardiovascular Disease Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000924679001 | Other | HEALTHNOW | |
| MDG288 | Other | PREFERRED CARE MCO | |
| P010001487 | Other | BLUE CHOICE MCO | |
| P010001487 | Other | MONROE PLAN | |
| 107177BJ | Other | PREFERRED CARE MCO | |
| 9704619 | Other | GHI |
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
Enrollment records 1
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 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 15.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospitalist Group PLLC | Internal Medicine | Current | Accepting new patients |
| Shoolin LLC | Internal Medicine | Current | Accepting new patients |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| Great Plains Cardiology LLC | Cardiovascular Disease | Current | Accepting new patients |
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Ark-la-Tex Cardiology, Apmc | Cardiovascular Disease | Past | Accepting new patients |
| Rha Stroud Inc | Past | Accepting new patients | |
| Advanced Cardiovascular Specialists | Cardiovascular Disease | Past | Accepting new patients |
| WK South Hospitalists | Past | 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
- rakeshshrivastava@rwhfairfax.medalliesdirect.net
- rshrivastava103081@ouhealth.direct-ci.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1376011478
-
- Medical Specialty Clinic/Center
- Anadarko, OK
- NPI 1538825120
-
- Critical Access Hospital
- Fairfax, OK
- NPI 1295362564
-
- Cardiovascular Disease Physician
- Edmond, OK
- NPI 1851057418
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Critical Access Hospital
- Anadarko, OK
- NPI 1023774601
-
- Rural Health Clinic/Center
- Fairfax, OK
- NPI 1790314466
-
- Critical Access Hospital
- Stroud, OK
- NPI 1437107117
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1881127090
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.