Individual provider Active NPI

Urmila Shivaram, M.D

  • Pulmonary Disease Physician
  • Oakland Gardens, NY
National Provider Identifier
1215025473
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
144841 Issued in NY
Practice address
21116 Union Tpke
Oakland Gardens, NY 11364-3241
Phone
(718) 217-0500
Fax
(718) 217-0533
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 144841 NY Primary

Addresses

Primary practice location

21116 Union Tpke
Oakland Gardens, NY 11364-3241

Mailing address

21116 Union Tpke
Oakland Gardens, NY 11364-3241
Phone (718) 217-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20050331001023 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 8123074861 Reassigns benefits to 3 organizations
Practice locations: Oakland Gardens, NY; Ridgewood, NY; Jackson Heights, NY; Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

3 Delaware Dr
Suite 202
New Hyde Park, NY 11042-1116
Phone (516) 622-6161

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 11, 2017 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 14, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 14, 2023 Accepting new patients
Ny Pulmonary & Sleep PLLC Pulmonary Disease Past Accepting new patients
Island Sleep Medicine Specialists PC Pulmonary Disease Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients
Prohealth Care Associates LLP Pulmonary Disease Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

1 Dakota Dr
Ste 220
New Hyde Park, NY 11042
Phone (516) 608-2890

1 Dakota Dr
Ste 218
New Hyde Park, NY 11042
Phone (516) 488-9700

1 Dakota Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 622-2900

21116 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 217-0500

300 Community Dr
Plandome, NY 11030

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: ushivaram70439@direct.optum.com
  • Direct secure messaging: urmilashivaram@nslijmedgr.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1215025473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21116 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643241",
            "telephone_number": "718-217-0500",
            "fax_number": "718-217-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21116 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643241",
            "telephone_number": "718-217-0500",
            "fax_number": "718-217-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVARAM",
        "first_name": "URMILA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "144841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

Verify at the official NPI Registry.