Keshavamurthy Shivashankar (NPI# 1811050404, PAC ID# 7911930292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1811050404 |
| PAC ID by PECOS | 7911930292 |
| Professional Enrollment ID | I20050916000343 |
| Full Name | Keshavamurthy Shivashankar |
| Address |
140 Belmont Ave Suite 102 Belleville NJ 07109-1018 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310009 | CLARA MAASS MEDICAL CENTER |
| 310119 | THE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
140 BELMONT AVE SUITE 102 |
| City | BELLEVILLE |
| State | NJ |
| Zip | 07109-1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn Umali-dizon | Physical Therapy | Silver Lake Physical Therapy LLC | 140 Belmont Ave, Suite 101, Belleville, NJ 07109-1018 |
| Allan R. Mendez | Physical Therapy | Silver Lake Physical Therapy LLC | 140 Belmont Ave, Suite 101, Belleville, NJ 07109-1018 |
| Gayithri R Keshav | Nephrology | 140 Belmont Ave, Suite 103, Belleville, NJ 07109-1018 | |
| Roger Keshav | Nephrology | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed K Abou-taleb | Internal Medicine | 1 Clara Maas Dr, Belleville, NJ 07109 | |
| Dianne P Walker | Internal Medicine | 303 Belmont Ave, Belleville, NJ 07109-1103 | |
| Robert A Marini | Physical Medicine and Rehabilitation | Jersey Rehab Pa | 15 Newark Ave, Belleville, NJ 07109-1123 |
| Felix A Almentero | Physical Medicine and Rehabilitation | Jersey Rehab Pa | 15 Newark Ave, Belleville, NJ 07109-1123 |
| Steven M Lomazow | Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1186 | |
| Nneka Offor Brooks | Ophthalmology | Associated Retinal Consultants LLC | 50 Newark Ave, Suite 306, Belleville, NJ 07109-1186 |
| Mark A Lister | Ophthalmology | 50 Newark Ave, Suite 107, Belleville, NJ 07109-1187 | |
| Frank P Arena | Podiatry | 50 Newark Ave, Suite 201, Belleville, NJ 07109-1187 | |
| Mario A Criscito | Cardiovascular Disease (cardiology) | Cardiology Center of New Jersy LLC | 50 Newark Ave, Suite 204, Belleville, NJ 07109-1193 |
| Craig D Gialanella | Internal Medicine | Craig D Gialanella Md LLC | 50 Newark Ave, Belleville, NJ 07109-1193 |
| Find all physicians in zip 07109 | |||
| City | BELLEVILLE |
| Zip Code | 07109 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BELLEVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Keshavamurthy Shivashankar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.