SHIVA TEJA MORISETTY MD
NPI 1114728359
Student in an Organized Health Care Education/Training Program in Plantation, FL

Active since March 24, 2025PECOS Enrolled
8201 W. BROWARD BLVD., PLANTATION, FL 33324(561) 267-3701 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shiva Teja Morisetty Md NPPES

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

SHIVA TEJA MORISETTY MD (NPI 1114728359) is an individual student in an organized health care education/training program in Plantation, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114728359
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHIVA TEJA MORISETTYCredential: MD
Location Address8201 W. BROWARD BLVD.Plantation, FL 33324
Mailing Address8201 W Broward BlvdPlantation, FL 33324-2701 · (561) 267-3701
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 23, 2025
NPI 1114728359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
8201 W. BROWARD BLVD., Plantation, FL 33324

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 Teja Morisetty 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

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

Emergency Medicine
8201 W. BROWARD BLVD.
PLANTATION, FL 33324

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 Teja Morisetty's NPI number?

The NPI number for Shiva Teja Morisetty is 1114728359. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Shiva Teja Morisetty located?

Shiva Teja Morisetty practices at 8201 W. Broward Blvd., Plantation, FL 33324. The listed phone number is (561) 267-3701.

What is Shiva Teja Morisetty'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 Teja Morisetty enrolled in Medicare?

Yes. Shiva Teja Morisetty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shiva Teja Morisetty was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.