Individual provider Active NPI

Aryendra Gaurav Shrivastava, MD, MPH

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1720433469
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2020-02096 Issued in NC
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-3450
NPI assigned
May 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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
Psychiatry Physician 2084P0800X 2020-02096 NC Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-3450

Other practice location 1

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200804001969 NC Practitioner - Psychiatry 7517212566 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holly Hill Hospital LLCGroup PAC ID 7810806650, 10 clinicians

Practice addresses (Care Compare)

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1705 Tarboro SWST
Wilson Medical Center
Wilson, NC 27893-3428
Phone (252) 399-8040

3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone (919) 250-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-02096NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2025 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Feb 1, 2025 Accepting new patients
Recovery Innovations, Inc CurrentSince May 21, 2025 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
Holly Hill Hospital LLC Psychiatry CurrentSince Nov 22, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Sep 1, 2020 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Sep 1, 2020 Accepting new patients
Recovery Innovations, Inc CurrentSince May 21, 2025 Accepting new patients
DLP Wilson Medical Center LLC Past Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

700 Main St
Ellendale, DE 19941
Phone (302) 424-5660

659 E Chestnut Hill Rd
Newark, DE 19713
Phone (302) 300-3111

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

3019 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7000

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

Organizations & group practices 12

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1720433469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Tarboro St SW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933428",
            "country_code": "US",
            "telephone_number": "252-399-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "ARYENDRA",
        "middle_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-02096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.