Individual provider Active NPI

Shashank Shekhar Srivastava, M.D.

  • Obstetrics & Gynecology Physician
  • Ocala, FL
National Provider Identifier
1083025258
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME167604 Issued in FL
Practice address
1307 S Pine Ave
Ocala, FL 34471-6543
Phone
(352) 368-2238
Fax
(352) 368-5042
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD193284 OR
Obstetrics & Gynecology Physician 207V00000X CDR.0002547 CO
Obstetrics & Gynecology Physician 207V00000X MD60912451 WA
Obstetrics Physician 207VX0000X 62045 AZ
Obstetrics & Gynecology Physician 207V00000X ME167604 FL Primary

Addresses

Primary practice location

1307 S Pine Ave
Ocala, FL 34471-6543

Mailing address

PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033

Other practice location 1

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Other practice location 2

10815 W McDowell Rd Ste 301
Avondale, AZ 85392-5016
Phone (623) 512-4466

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shansacksrivastava@swhealth.direct-ci.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, WA, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190320001223 CO Practitioner - Obstetrics/Gynecology 4183926785 Reassigns benefits to 1 organization
I20201021001705 AZ Practitioner - Obstetrics/Gynecology 4183926785 Reassigns benefits to 3 organizations
I20231010003197 WA Practitioner - Obstetrics/Gynecology 4183926785 Reassigns benefits to 2 organizations
I20240711001108 FL Practitioner - Obstetrics/Gynecology 4183926785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

5605 W Eugie Ave
Suite 111
Glendale, AZ 85304-1273
Phone (480) 756-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0002547COMDObstetrics & Gynecology Physician
MD60912451WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Apr 29, 2024 Accepting new patients
Southwest Health System Inc Obstetrics & Gynecology CurrentSince Aug 7, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Apr 10, 2024 Accepting new patients
Southwest Health System, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Aug 27, 2023 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Southwest Health System, Inc. Current Accepting new patients
Women'S Care Arizona, LLC Obstetrics CurrentSince Oct 21, 2021 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Aug 27, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Apr 10, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Jul 9, 2023 Accepting new patients
Valley Medical Group-Renton CurrentSince Jan 1, 2019 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

2910 N Litchfield Rd
Unit 12
Goodyear, AZ 85395

9130 W Thomas Rd
Ste A-108
Phoenix, AZ 85037
Phone (623) 433-0106

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1111 E McDowell Rd
Ste B
Phoenix, AZ 85006
Phone (602) 346-0350

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1307 S Pine Ave
Ocala, FL 34471
Phone (352) 368-2238

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

16850 SE 272nd St
Ste 200
Covington, WA 98042
Phone (425) 251-9900

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shashank.srivastava.1@20219.direct.athenahealth.com
  • Direct secure messaging: ssrivastava677424@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1083025258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716543",
            "telephone_number": "352-368-2238",
            "fax_number": "352-368-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 N Mildred Rd",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212231",
            "country_code": "US",
            "telephone_number": "970-565-6666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10815 W McDowell Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925016",
            "country_code": "US",
            "telephone_number": "623-512-4466",
            "fax_number": "623-512-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SHASHANK",
        "middle_name": "SHEKHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD193284",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "CDR.0002547",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60912451",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "62045",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME167604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shansacksrivastava@swhealth.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System L&D",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311 N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.