Anita Shrivastava, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

RS2022-0530 Issued in NM

Practice address

4351 E Lohman Ave Ste 300
Las Cruces, NM 88011-8262

Phone

(575) 556-7600

NPI assigned

Apr 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Internal Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Las Cruces HB Medical Services LLC

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1598446171
  Medicare reassignment Care Compare group NPD
• Las Cruces Medical Center LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1205882503
  NPD (past)

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

• Las Cruces Medical Center LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1205882503
  Care Compare affiliation
• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1164001632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 300",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 300",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262",
            "telephone_number": "575-556-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "RS2022-0530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahya Shojaee, PHARMD
• Robbie Shoots, MD
• Madison Shope
• Amber Short
• Thakur Shrestha, MD
• Eileen Shult, RN,GNP C
• Dawn Shults
• Isabelo Samson Sicsic Jr.
• Gustavo Vasquez Sida, DMD
• Afrin Ahmed Siddiqui, DDS

• Internal Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.