NPIMap

Individual provider Active NPI

Shiva Shankar Natarajan

  • Neurology Physician
  • Germantown, TN
National Provider Identifier
1730132788
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
031974 Issued in TN
Practice address
7645 Wolf River Cir
Suite 100
Germantown, TN 38138-1751
Phone
(901) 405-0275
NPI assigned
May 19, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 031974 TN Primary

Addresses

Primary practice location

7645 Wolf River Cir
Suite 100
Germantown, TN 38138-1751

Mailing address

7645 Wolf River Cir Ste 100
Germantown, TN 38138-1751
Phone (901) 405-0275

Other identifiers 10

IdentifierTypeStateIssuer
00123843MedicaidMS
620903564OtherVESTICA/OMNICARE
98965OtherARBCBS OF ARKANSAS
152654001MedicaidAR
2075825OtherUNITED HEALTHCARE
339702002OtherCIGNA
4170697OtherTNBC BS TN
7701233OtherAETNA
16568OtherTLC
3857230MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040630000273 MS Practitioner - Neurology 9032195953 Reassigns benefits to 1 organization
I20050711000255 TN Practitioner - Neurology 9032195953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Memphis Neurology PLLCGroup PAC ID 2264510718, 6 clinicians

Practice addresses (Care Compare)

2013 Exeter Rd
Germantown, TN 38138-3946
Phone (901) 737-4035

7645 Wolf River Cir
Germantown, TN 38138-1751

7645 Wolf River Circle
Suite 100
Germantown, TN 38138-1751

7684 Airways Blvd
Southaven, MS 38671-5304
Phone (901) 405-0275

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031974TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Primary Care & Wellness Associates Neurology CurrentSince Aug 1, 2002 Accepting new patients
Memphis Neurology PLLC Neurology CurrentSince Feb 1, 2008 Accepting new patients
Primary Care Group LLC Neurology Past Accepting new patients
Mittal Kidney and Dialysis PC Past Accepting new patients

Locations

401 Southcrest Cir
Ste 105
Southaven, MS 38671
Phone (662) 349-4322

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

7684 Airways Blvd
Southaven, MS 38671
Phone (901) 405-0275

7645 Wolf River Cir
Memphis, TN 38138
Phone (901) 405-0275

7645 Wolf River Cir
Ste 100
Memphis, TN 38138
Phone (901) 405-0275

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA
  • Direct secure messaging: shankar.natarajan@memneuro.directbygreenway.com
  • Direct secure messaging: snatarajan33312@mlh.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1730132788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 WOLF RIVER CIR STE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381751",
            "telephone_number": "901-405-0275",
            "fax_number": "901-922-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 WOLF RIVER CIR",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381751",
            "telephone_number": "901-405-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATARAJAN",
        "first_name": "SHIVA",
        "middle_name": "SHANKAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "031974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123843",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VESTICA/OMNICARE",
            "identifier": "620903564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARKANSAS",
            "identifier": "98965",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152654001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2075825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "339702002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS TN",
            "identifier": "4170697",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7701233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "16568",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857230",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.