NPIMap

Individual provider Active NPI

Subhash R Tiwari, MD

  • Psychiatry Physician
  • Vero Beach, FL
National Provider Identifier
1548217441
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME39117 Issued in FL
Practice address
726 20TH St
Vero Beach, FL 32960-5442
Phone
(772) 257-5264
Fax
(772) 257-5265
NPI assigned
May 27, 2006
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0039117 FL
Psychiatry Physician 2084P0800X ME39117 FL Primary

Addresses

Primary practice location

726 20TH St
Vero Beach, FL 32960-5442

Mailing address

726 20TH St
Vero Beach, FL 32960-5442
Phone (772) 257-5264

Other identifiers 3

IdentifierTypeStateIssuer
22645 (INACTIVE)OtherWYWISCONSIN BOARD OF MEDICINE (PHYSICIANS' LICENSE)
36059800 (INACTIVE)OtherILILLINOIS DEPT. OF PROFESSIONAL REGULATION (PHYSICIANS' LICENSE)
ME39117OtherFLFLORIDA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000684 FL Practitioner - PsychiatryPractitioner - Addiction Medicine 1355393455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

518 SW Prima Vista Blvd
Port Saint Lucie, FL 34983-8734
Phone (772) 873-8811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0039117FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nueroscience Associates of West Pasco Past Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients
Huntingdon Healthcare Inc Psychiatry PastSince Jun 1, 2006 Accepting new patients
Step by Step Behavioral Health Services LLC Past Accepting new patients
Hospice and Palliative Physician Services, LLC PastSince Dec 1, 2007 Accepting new patients
Florida Department of Children and Families Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 7

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1548217441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605442",
            "telephone_number": "772-257-5264",
            "fax_number": "772-257-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605442",
            "telephone_number": "772-257-5264",
            "fax_number": "772-257-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "SUBHASH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0039117",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME39117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN BOARD OF MEDICINE (PHYSICIANS' LICENSE)",
            "identifier": "22645 (INACTIVE)",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPT. OF PROFESSIONAL REGULATION (PHYSICIANS' LICENSE)",
            "identifier": "36059800 (INACTIVE)",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "ME39117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.