Individual provider Active NPI

Sharvari Shyam, MD

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1376118455
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Third Avenue Bronx
SBH Health System 4422
New York, NY 10457
Phone
(718) 960-9000
NPI assigned
May 21, 2021
Reactivated
Nov 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Third Avenue Bronx
SBH Health System 4422
New York, NY 10457

Mailing address

Third Avenue Bronx
SBH Health System 4422
New York, NY 10457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240503003078 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2264872407

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sharvari.shyam.1@18107.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1376118455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THIRD AVENUE BRONX",
            "address_2": "SBH HEALTH SYSTEM 4422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THIRD AVENUE BRONX",
            "address_2": "SBH HEALTH SYSTEM 4422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYAM",
        "first_name": "SHARVARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "deactivation_date": "2022-11-14",
        "reactivation_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.