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SHRUTI NIKETAN TEWAR M.D.
NPI 1477787638
Pediatrics - Developmental - Behavioral Pediatrics in Winter Park, FL

Active since May 03, 2009PECOS Enrolled
2435 LEE RD, WINTER PARK, FL 32789(407) 564-3375(407) 564-3379 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2025, Mar 4, 2021 (2 updates tracked since 2021).

About Shruti Niketan Tewar M.d. NPPES

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

SHRUTI NIKETAN TEWAR M.D. (NPI 1477787638) is an individual developmental - behavioral pediatrics provider in Winter Park, Florida, licensed in Florida (ME171901) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1477787638
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameSHRUTI NIKETAN TEWARCredential: M.D.
Location Address2435 LEE RDWinter Park, FL 32789-1755
Mailing Address2435 Lee RdWinter Park, FL 32789-1755 · (407) 564-3375 · Fax (407) 564-3379
Phone(407) 564-3375
Fax(407) 564-3379
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 3, 2009
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1477787638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in FL · ME171901✔ Licensed in AR · E-13828
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
2435 LEE RD, Winter Park, FL 32789
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shruti Niketan Tewar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729377858
PECOS Enrollment IDI20251204001753
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

3

Medicare enrollment records show Shruti Tewar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
765 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
769 mi
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100
Carle Health Medical Group
884 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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

Other Providers at the Same Location NPPES

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

JOYFUL MUSIC THERAPY LLC
Specialist
2435 LEE RD
WINTER PARK, FL 32789
Orange County (407) 489-1783

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 Shruti Tewar's NPI number?

The NPI number for Shruti Tewar is 1477787638. It was assigned to this individual provider in the NPPES registry on May 3, 2009.

Where is Shruti Tewar located?

Shruti Tewar practices at 2435 Lee Rd, Winter Park, FL 32789. The listed phone number is (407) 564-3375.

What is Shruti Tewar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Shruti Tewar enrolled in Medicare?

Yes. Shruti Tewar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shruti Tewar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shruti Tewar reassigns Medicare benefits to 3 organizations: Arkansas Childrens Hospital (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Carle Health Medical Group (Urbana, IL). 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 Shruti Tewar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shruti Tewar accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shruti Tewar 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.

When was this NPI record last updated?

The NPPES record for Shruti Tewar was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.