Rupa Shiva, MBBS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28819 Issued in AL

Practice address

Nasa Marshall Space Flight Center
As10 Building 4249
Huntsville, AL 35812-3581

Phone

(256) 544-5731

Fax

(256) 544-5743

NPI assigned

May 23, 2007

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 AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha & Omega Health Care Providers

  • Health Maintenance Organization
  • Huntsville, AL
  • NPI 1144698358
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment NPD
• Nomad Medical Services

  • Primary Care Clinic/Center
  • New Hope, AL
  • NPI 1275260093
  Medicare reassignment NPD
• Medsouth Meridianville LLC

  • Family Medicine Physician
  • Meridianville, AL
  • NPI 1477891331
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1215147905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NASA MARSHALL SPACE FLIGHT CENTER",
            "address_2": "AS10 BUILDING 4249",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358123581",
            "telephone_number": "565-445-7312",
            "fax_number": "256-544-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NASA MARSHALL SPACE FLIGHT CENTER",
            "address_2": "AS10 BUILDING 4249",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358123581",
            "telephone_number": "256-544-5731",
            "fax_number": "256-544-5743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Governors Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015123",
            "country_code": "US",
            "telephone_number": "256-536-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVA",
        "first_name": "RUPA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L2630",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "28819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Shields, LPTA
• Amber Noelle Shiflet, CRNP
• Shine Bright Occupational Therapy, LLC
• Kristen Marie Shirey, CRNP
• Bryan S Shirkey, CRNA
• Shiver Chiropractic Enterprises
• Ian Shiver, DC
• Deandra Renay Shoaff, OTR/L
• Julia Myron Shoemake, DPT
• Alia Maja Shoemaker, MS, CCC-SLP

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.