Active NPI
Shiva Lal Acharya, MBBS
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1093981144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125052257
- Practice address
- 2900 N Lake Shore Dr
Saint Joseph Hospital
Chicago, IL 60657-5773 - Phone
- (773) 665-3000
- NPI assigned
- May 7, 2008
- Last updated
- May 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125052257 | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Saint Joseph Hospital
Chicago, IL 60657-5773
Mailing address
440 W Barry Ave
Apt- 503
Chicago, IL 60657-5773
Phone (312) 259-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125052257 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1093981144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 W BARRY AVE",
"address_2": "APT- 503",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575773",
"telephone_number": "312-259-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"address_2": "SAINT JOSEPH HOSPITAL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575773",
"telephone_number": "773-665-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHARYA",
"first_name": "SHIVA",
"middle_name": "LAL",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125052257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.