Active NPI
Shashank Shekhar Srivastava, M.D.
- Obstetrics & Gynecology Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME167604
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shansacksrivastava@swhealth.direct-ci.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, AZ, WA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0002547 | CO | MD | Obstetrics & Gynecology Physician |
| MD60912451 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Southwest Health System Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County Wa | Current | 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 | Current | Accepting new patients |
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Valley Perinatal Services, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Medical Group-Renton | Current | 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
- shashank.srivastava.1@20219.direct.athenahealth.com
- ssrivastava677424@hisp.ehr.sutterhealth.org
- 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.
-
- Maternal & Fetal Medicine Physician
- Chandler, AZ
- NPI 1174866743
Obstetrics & Gynecology
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Obstetrics & Gynecology
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
-
- Critical Access Hospital
- Cortez, CO
- NPI 1649241571
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Obstetrics Physician
- Phoenix, AZ
- NPI 1942977624
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1881927994
-
- Orthopaedic Surgery Physician
- Shelton, WA
- NPI 1700023405
-
- Clinic/Center
- Shelton, WA
- NPI 1316174774
-
- Pharmacy
- Cortez, CO
- NPI 1386917862
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.