Individual provider Active NPI

Shirin Ramani Desilva, MD

  • Occupational Medicine Physician
  • Springdale, AR
National Provider Identifier
1295793818
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
E4074 Issued in AR
Practice address
4600 Mercy LN Ste 240
Springdale, AR 72762-3070
Phone
(479) 347-3812
Fax
(479) 347-3678
NPI assigned
May 3, 2006
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 2006017539 MO
Occupational Medicine Physician 2083X0100X E4074 AR Primary

Addresses

Primary practice location

4600 Mercy LN Ste 240
Springdale, AR 72762-3070

Mailing address

4600 Mercy LN Ste 240
Springdale, AR 72762-3070
Phone (479) 347-3812

Other practice location 1

1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291

Other identifiers 2

IdentifierTypeStateIssuer
208406405MedicaidMO
154251001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040714001560 AR Practitioner - Preventive MedicinePractitioner - Emergency Medicine 4587643457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Emergency Medicine
Education
New York Medical College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

4600 Mercy LN
Suite 240
Springdale, AR 72762-3070
Phone (479) 338-3720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4074ARMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 6, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 6, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 6, 2025 Accepting new patients
Parkview Hospital, Inc. Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

4600 Mercy Ln
Ste 240
Springdale, AR 72762
Phone (479) 338-4400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1295793818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MERCY LN STE 240",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623070",
            "telephone_number": "479-347-3812",
            "fax_number": "479-347-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MERCY LN STE 240",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623070",
            "telephone_number": "479-347-3812",
            "fax_number": "479-347-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Jackson St SW",
            "address_purpose": "LOCATION",
            "city": "Gravette",
            "state": "AR",
            "postal_code": "727369121",
            "country_code": "US",
            "telephone_number": "479-787-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "SHIRIN",
        "middle_name": "RAMANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MO",
            "license": "2006017539",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AR",
            "license": "E4074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208406405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154251001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.