Individual provider Active NPI

Shivan M Berwari

  • Student in an Organized Health Care Education/Training Program
  • Nashville, TN
National Provider Identifier
1619679412
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
250 25TH Ave N FL 2
Nashville, TN 37203-1632
Phone
(615) 342-3969
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 NU Primary

Addresses

Primary practice location

250 25TH Ave N FL 2
Nashville, TN 37203-1632

Mailing address

250 25TH Ave N FL 2
Nashville, TN 37203-1632

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
I20250605002047 TN Practitioner - Psychiatry 8426416348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
East Tennessee State University Quillen College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

1001 N James M Campbell Blvd
Columbia, TN 38401-2636
Phone (931) 777-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1001 N James M Campbell Blvd
Columbia, TN 38401
Phone (931) 777-6000

109 Holiday Ct
Ste D10
Franklin, TN 37067
Phone (615) 339-4642

Interoperability endpoints

  • Direct secure messaging: shivan.berwari@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1619679412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 25TH AVE N FL 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 25TH AVE N FL 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031632",
            "telephone_number": "615-342-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERWARI",
        "first_name": "SHIVAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.