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SHIVA RATTAN AMBARDAR MD
NPI 1043952930
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 11, 2022PECOS Enrolled
100 EAST 77TH STREET, NEW YORK, NY 10075(212) 434-2624 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shiva Rattan Ambardar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVA RATTAN AMBARDAR MD (NPI 1043952930) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043952930
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHIVA RATTAN AMBARDARCredential: MD
Location Address100 EAST 77TH STREETNew York, NY 10075-1914
Mailing Address100 East 77th Street, 3rd Floor, 3 Einhorn, Radiology Admin OfficesNew York, NY 10075
Phone(212) 434-2624
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1043952930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 EAST 77TH STREET, New York, NY 10075
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Secondary Practice Locations 2

Location 1825 Fairfax Ave Ste 563Norfolk, VA 23507-1914 · Phone (757) 446-7934
Location 2600 Gresham DrNorfolk, VA 23507-1904 · Phone (757) 388-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shiva Rattan Ambardar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARK LENOX MEDICAL, PC
Internal Medicine
100 EAST 77TH STREET
NEW YORK, NY 10075
New York County (212) 434-3589
MINEVE SIMON NURSING
Nurse Practitioner (Pediatrics)
100 EAST 77TH STREET
NEW YORK, NY 10075
New York County (212) 434-2640
VICTORIA REICHMAN MD
Pediatrics (Neonatal-Perinatal Medicine)
100 EAST 77TH STREET, DEPARTMENT OF PEDIATRICS
NEW YORK, NY 10075
New York County (212) 434-2135
MR. SUNDER SHAM MD
Pathology (Anatomic Pathology & Clinical Pathology)
100 EAST 77TH STREET
NEW YORK, NY 10075
New York County (212) 434-2000
MR. FIONN PATRICK DALY MB, BCH, BAO
Student in an Organized Health Care Education/Training Program
100 EAST 77TH STREET, LENOX HILL HOSPITAL (NORTHWELL HEALTH)
MANHATTAN, NY 10075
New York County (212) 434-4763
MRS. JOHANNA MARTINEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
100 EAST 77TH STREET
NEW YORK, NY 10075
New York County (212) 434-2660
DR. ZACHARY BAYARD POWELL M.D.
Anesthesiology
100 EAST 77TH STREET, DEPARTMENT OF ANESTHESIOLOGY
NEW YORK, NY 10075
New York County (212) 434-4492
FNU ANAMIKA
Student in an Organized Health Care Education/Training Program
100 EAST 77TH STREET
NEW YORK, NY 10075
New York County (212) 434-2158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiva Ambardar's NPI number?

The NPI number for Shiva Ambardar is 1043952930. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Shiva Ambardar located?

Shiva Ambardar practices at 100 East 77th Street, New York, NY 10075. The listed phone number is (212) 434-2624.

What is Shiva Ambardar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shiva Ambardar enrolled in Medicare?

Yes. Shiva Ambardar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shiva Ambardar was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.