Active NPI
Tumkur S Shivashankara, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Tuscaloosa, AL
National Provider Identifier
1619955879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- # 00014977
- Practice address
- 3701 Loop Rd
Tuscaloosa, AL 35404-5015 - Phone
- (205) 554-2822
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | # 00014977 | AL | Primary |
Addresses
Primary practice location
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Mailing address
3701 Loop Rd
Tuscaloosa VA MC
Tuscaloosa, AL 35404-5015
Phone (205) 554-2822
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| # 00014977 | AL | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1619955879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"address_2": "TUSCALOOSA VA MC",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIVASHANKARA",
"first_name": "TUMKUR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "AL",
"license": "# 00014977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.