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DR. SHIVI YADAVA DO
NPI 1992365092
Family Medicine in Saint Louis, MO

Active since June 19, 2019Opted out of Medicare · through Jun 12, 2027
12680 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141(314) 251-8888(314) 251-8889 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shivi Yadava Do NPPES

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

DR. SHIVI YADAVA DO (NPI 1992365092) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2019021551) and active in the NPI registry since June 2019. She has opted out of Medicare through June 12, 2027.

NPPES Registry Identity

NPI1992365092
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHIVI YADAVACredential: DO
Location Address12680 OLIVE BLVD STE 300Saint Louis, MO 63141-6322
Mailing Address12680 Olive Blvd Ste 300Saint Louis, MO 63141-6322 · (314) 251-8888 · Fax (314) 251-8889
Phone(314) 251-8888
Fax(314) 251-8889
Sole ProprietorYes
Enumeration DateJune 19, 2019
✔ NPI 1992365092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2019021551
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12680 OLIVE BLVD STE 300, Saint Louis, MO 63141
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shivi Yadava Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2023 through June 12, 2027.

Opt-Out Effective DateJune 12, 2023
Opt-Out In Effect ThroughJune 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

PRIYA SURESH KANNA MD
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
DR. JUSTIN PELKEY DO
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
CHRISTIAN VERRY MD
Family Medicine (Sports Medicine)
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
KYLE JOHNSON DO
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
HAYLEY BRANDS DO
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
JASON MATTHEW MADDOX
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
JORDAN TAYLOR WILLS
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888
ASHLY WATTLES DO
Family Medicine
12680 OLIVE BLVD STE 300
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8888

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 Shivi Yadava's NPI number?

The NPI number for Shivi Yadava is 1992365092. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Shivi Yadava located?

Shivi Yadava practices at 12680 Olive Blvd Ste 300, Saint Louis, MO 63141. The listed phone number is (314) 251-8888.

What is Shivi Yadava's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shivi Yadava enrolled in Medicare?

No. Shivi Yadava has opted out of Medicare through June 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shivi Yadava was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.