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PUSHPA SHIVARAM MD
NPI 1306192604
Pediatrics - Pediatric Cardiology in Marshfield, WI

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5267(715) 389-3142 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pushpa Shivaram Md NPPES

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

PUSHPA SHIVARAM MD (NPI 1306192604) is an individual pediatric cardiology provider in Marshfield, Wisconsin, licensed in Georgia (080240) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1306192604
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NamePUSHPA SHIVARAMCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1120 15th Street, Department Of PediatricsAugusta, GA 30912-0004 · (706) 721-8623 · Fax (706) 721-1459
Phone(715) 387-5267
Fax(715) 389-3142
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 24, 2012
Last NPPES UpdateJuly 6, 2018
✔ NPI 1306192604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 080240
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 N OAK AVE, Marshfield, WI 54449
Open in Google Maps ↗

Other Names 1

Former Name (1)Pushpalatha Krishnappa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pushpa Shivaram Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658503693
PECOS Enrollment IDI20181009002897
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pushpa Shivaram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
777 mi
Family Medicine
12 MEDICAL DR NE
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • Also billed through NPI 1275992240 (South Carolina)
  • 3,885 clinicians in this Medicare group
NPI 1588059653 (770) 386-1000
Au Medical Associates Inc
888 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 20

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

ALISON RAE SAMPSON D.O.
Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5161
TAMARA L. LEAHY NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (800) 782-8581
SAMANTHA ELAINE MOORE RD, CD, CDCES
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-7464
ROBERT BUNDY
Student in an Organized Health Care Education/Training Program
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5511
EUGENE H. LARSON PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5245
JAMES SKIBBA CRNA
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-7179
KENNETH E ENGELHART MD
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5704
KRISTIN M GERNDT MD
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-3474

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 Pushpa Shivaram's NPI number?

The NPI number for Pushpa Shivaram is 1306192604. It was assigned to this individual provider in the NPPES registry on July 24, 2012. The provider is also known as Pushpalatha Krishnappa.

Where is Pushpa Shivaram located?

Pushpa Shivaram practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5267.

What is Pushpa Shivaram's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Pushpa Shivaram enrolled in Medicare?

Yes. Pushpa Shivaram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pushpa Shivaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pushpa Shivaram reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Cartersville, GA) and Au Medical Associates Inc (Augusta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pushpa Shivaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pushpa Shivaram accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Pushpa Shivaram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pushpa Shivaram affiliated with any hospitals?

According to CMS data, Pushpa Shivaram is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Pushpa Shivaram was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.