NPIMap

Individual provider Active NPI

Shiva Mohan

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1821619792
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75474 Issued in TN
Practice address
1000 Saint Luke Dr
Nashville, TN 37205-3588
Phone
(423) 926-2358
NPI assigned
May 2, 2020
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X PT20231 ND
Internal Medicine Physician 207R00000X 75474 TN Primary

Addresses

Primary practice location

1000 Saint Luke Dr
Nashville, TN 37205-3588

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Other practice location 1

5225 23rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251024000839 TN Practitioner - Internal Medicine 5193141794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75474TNMDInternal Medicine Physician
PT20231NDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renuven Aco PLLC Internal Medicine CurrentSince Oct 24, 2025 Accepting new patients
Integrated Health Transitions, PLLC Internal Medicine CurrentSince Aug 26, 2025 Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Dec 1, 2025 Accepting new patients
NHC Healthcare-Columbia LLC Past Accepting new patients
Renuven Health Partners of Georgia PC Internal Medicine Past Accepting new patients
West Meade Place LLP Past Accepting new patients

Locations

5010 Trotwood Ave
Columbia, TN 38401
Phone (931) 388-1615

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

1000 Saint Luke Dr
Nashville, TN 37205
Phone (615) 352-3430

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2300 Patterson St
#M
Nashville, TN 37203

Organizations & group practices 6

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1821619792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LUKE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053588",
            "telephone_number": "423-926-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581047927",
            "country_code": "US",
            "telephone_number": "701-417-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SHIVA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-02",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "PT20231",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "75474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.