NPIMap

Individual provider Active NPI

Shivakumar Deva, MD

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1750427159
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301089259 Issued in MI
Practice address
21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076-3843
Phone
(248) 352-2000
Fax
(248) 352-8800
NPI assigned
Jan 30, 2007
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301089259 MI Primary

Addresses

Primary practice location

21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076-3843

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6060

Other identifiers 2

IdentifierTypeStateIssuer
104970193MedicaidMI
P00389700OtherMIRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070308000409 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 1658474879 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Troy, MI 48084
Phone (248) 824-6060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc CurrentSince Nov 10, 2010 Accepting new patients
Vpa PC Internal Medicine CurrentSince Jan 13, 2014 Accepting new patients
Wa Foote Memorial Hospital Inc. CurrentSince Mar 15, 2012 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 31, 2007 Accepting new patients
Vpa PC Internal Medicine CurrentSince Jan 13, 2014 Accepting new patients
Iah of Michigan, PLLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Vpa PC Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Feb 4, 2017 Accepting new patients
Wa Foote Memorial Hospital, Inc Internal Medicine CurrentSince Mar 31, 2007 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Vpa PC Current Accepting new patients
Cogent Healthcare of Michigan PC Internal Medicine Past Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076
Phone (248) 352-2000

500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: shivakumar.deva.1@32913.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1750427159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6060",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21540 W 11 MILE RD",
            "address_2": "STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763843",
            "telephone_number": "248-352-2000",
            "fax_number": "248-352-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVA",
        "first_name": "SHIVAKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104970193",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00389700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.