Individual provider Active NPI

Shiv Krishnaswamy, MD, MHA

  • Student in an Organized Health Care Education/Training Program
  • Akron, OH
National Provider Identifier
1548910433
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
141 N Forge St
Akron, OH 44304-1407
Phone
(330) 375-3000
NPI assigned
Mar 24, 2022
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Internal Medicine Physician 207R00000X 35.156111 OH

Addresses

Primary practice location

141 N Forge St
Akron, OH 44304-1407

Mailing address

1239 Liverpool St
Cuyahoga Falls, OH 44221-5575
Phone (941) 661-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220615001758 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0345629770

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Florida Atlantic University, College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 600
Dallas, TX 75244-4910

4055 Valley View LN
Suite 600
Dallas, TX 75244-5048

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1548910433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 LIVERPOOL ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215575",
            "telephone_number": "941-661-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041407",
            "telephone_number": "330-375-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNASWAMY",
        "first_name": "SHIV",
        "name_prefix": "Dr.",
        "credential": "MD, MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.156111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.