Keshav M Shiva MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA4015400000 Issued in NJ

Legal business name

KESHAV M SHIVA MD PA

Practice address

140 Belmont Ave
102
Belleville, NJ 07109-1017

Phone

(973) 751-7870

Fax

(973) 751-7875

NPI assigned

Jul 5, 2012

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kshavamurthy Shivashankar, MD

Title

Owner

Phone

(973) 751-7870

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keashava Shivashankar, MD

  • Interventional Cardiology Physician
  • Belleville, NJ
  • NPI 1811050404
  Medicare reassignment NPD
• Carmen Isabel Keshav, APRN, AGNP-C

  • Gerontology Nurse Practitioner
  • Belleville, NJ
  • NPI 1164296919
  NPD
• Roger Keshav, M.D.

  • Nephrology Physician
  • Belleville, NJ
  • NPI 1942525316
  NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1629333711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "address_2": "102",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091017",
            "telephone_number": "973-751-7870",
            "fax_number": "973-751-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "address_2": "102",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091017",
            "telephone_number": "973-751-7870",
            "fax_number": "973-751-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAV M SHIVA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "SHIVASHANKAR",
        "authorized_official_first_name": "KSHAVAMURTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-751-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA4015400000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1973606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kuldeep Kaur, APN
• Alin Kazanjian
• Kazim Dental Group P.C. (Dental Doctors of NJ)
• KD&U Services LLC
• Nerissa Nicole Kennedy, PA
• Carmen Isabel Keshav, APRN, AGNP-C
• Gayithri R Keshav, M.D.
• Roger Keshav, M.D.
• Diana Khaitov, PA
• Muhammad Bakhtiar Husain Khan, MD

• Cardiovascular Disease Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.