Kiva Shtull, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

051031 Issued in OH

Practice address

7601 First PL Ste 7a
Oakwood Village, OH 44146-6702

Phone

(440) 799-3741

NPI assigned

Nov 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kiva Shtull MD

  • Corporate Health Clinic/Center
  • Cleveland, OH
  • NPI 1255740619
  NPD (past) Authorized official
• Occucenters East Side

  • Occupational Medicine Clinic/Center
  • Cleveland, OH
  • NPI 1760727499
  NPD (past)

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1437555786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031126",
            "telephone_number": "216-431-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 FIRST PL STE 7A",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466702",
            "telephone_number": "440-799-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTULL",
        "first_name": "KIVA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-14",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "051031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• Shonte Sanders
• Nibha Saxena, MD
• Dajha Shakir
• Paul Stuart Shilling, DPT
• Jessica E Sigel, MD
• Steven S. Cole, D.D.S., Inc.
• Tailored-Made Healthcare
• The Erin Institute of Healing
• Connie Thomas

• Emergency Medicine Physician in Oakwood Village, OH
• Providers in Oakwood Village, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.