Individual provider Active NPI

Saravana E Sivashanker, MD

  • Emergency Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1720034978
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38975 Issued in KY
Practice address
19139 NW 23Rd CT
Pembroke Pines, FL 33029-5336
Phone
(954) 684-3098
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38975 KY Primary

Addresses

Primary practice location

19139 NW 23Rd CT
Pembroke Pines, FL 33029-5336

Mailing address

19139 NW 23Rd CT
Pembroke Pines, FL 33029-5336
Phone (954) 684-3098

Other identifiers 1

IdentifierTypeStateIssuer
64093677MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Monroe Medical Foundation, Inc. Past Accepting new patients
Harder Emergency Physicians Emergency Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Appalachian Physicians PSC Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Appalachian Health Care Inc Past Accepting new patients
Steven D. Spady Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1720034978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19139 NW 23RD CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295336",
            "telephone_number": "954-684-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19139 NW 23RD CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295336",
            "telephone_number": "954-684-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVASHANKER",
        "first_name": "SARAVANA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64093677",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.