SHIVANI SURAVARJJALA DO
NPI 1588415582
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Shivani Suravarjjala's NPI number?

The NPI number for Shivani Suravarjjala is 1588415582. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Shivani Suravarjjala's specialty?

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

Active since March 28, 2024PECOS Enrolled

8414 NAAB RD, INDIANAPOLIS, IN 46260(317) 338-7510 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Shivani Suravarjjala Do NPPES

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

SHIVANI SURAVARJJALA DO (NPI 1588415582) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588415582

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHIVANI SURAVARJJALACredential: DO

Location Address8414 NAAB RDIndianapolis, IN 46260-1972

Mailing Address8414 Naab RdIndianapolis, IN 46260-1972 · (317) 338-7510

Phone(317) 338-7510

Sole ProprietorYes

Enumeration DateMarch 28, 2024

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1588415582 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.

8414 NAAB RD, Indianapolis, IN 46260

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shivani Suravarjjala Do 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 20

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

MERCEDES MARIA VALACER DO

Student in an Organized Health Care Education/Training Program