Individual provider Active NPI

Shilpi Shrivastava, MD

  • Pediatrics Physician
  • Waukee, IA
National Provider Identifier
1326302001
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-45296 Issued in IA
Practice address
350 E Hickman Rd
Waukee, IA 50263-5005
Phone
(515) 643-7090
Fax
(515) 643-7091
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45296 IA
Pediatrics Physician 208000000X MD-45296 IA Primary

Addresses

Primary practice location

350 E Hickman Rd
Waukee, IA 50263-5005

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180710002966 IA Practitioner - Pediatric Medicine 4183943459 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45296IAMDPediatrics Physician
MD-45296IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Mercy Clinics, Inc Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

25 W Hickman Rd
Ste 300
Waukee, IA 50263
Phone (515) 643-7050

350 E Hickman Rd
Waukee, IA 50263
Phone (515) 643-7090

Interoperability endpoints

  • Direct secure messaging: sshrivastava3957764@direct.trinity-health.org

Organizations & group practices 4

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1326302001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-7090",
            "fax_number": "515-643-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635005",
            "telephone_number": "515-643-7090",
            "fax_number": "515-643-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "SHILPI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "45296",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-45296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.