KESHAV M SHIVA MD PA
NPI 1629333711
Internal Medicine - Cardiovascular Disease in Belleville, NJ
About Keshav M Shiva Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KESHAV M SHIVA MD PA (NPI 1629333711) is a healthcare organization registered as a cardiovascular disease in Belleville, New Jersey and active in the NPI registry since July 2012. The organization lists Kshavamurthy Shivashankar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keshav M Shiva Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keshav M Shiva MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Keshav M Shiva MD PA's NPI number?
The NPI number for Keshav M Shiva MD PA is 1629333711. It was assigned to this organization in the NPPES registry on July 5, 2012.
Where is Keshav M Shiva MD PA located?
Keshav M Shiva MD PA is located at 140 Belmont Ave 102, Belleville, NJ 07109. The listed phone number is (973) 751-7870.
What is Keshav M Shiva MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Keshav M Shiva MD PA enrolled in Medicare?
Yes. Keshav M Shiva MD PA is registered in the Medicare PECOS enrollment system.
When is Keshav M Shiva MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Keshav M Shiva MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Keshav M Shiva MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keshav M Shiva MD PA was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Keshav M Shiva Md Pa · NPI 1629333711
Cardiovascular Disease organization in Belleville, New Jersey. Organization record, active in the CMS NPPES registry since July 5, 2012.
## Identity
- **NPI:** 1629333711 (Entity type: Organization)
- **Enumerated:** July 5, 2012
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Kshavamurthy Shivashankar, OWNER
## Practice location
- **Address:** 140 BELMONT AVE, 102, Belleville, NJ 07109-1017
- **Phone:** (973) 751-7870 · **Fax:** (973) 751-7875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2013
- **Other identifiers:** Medicare PIN 045806 (NJ); Medicaid 1973606 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1629333711) · Data from the CMS NPPES public registry.