Shiju Santha Nivas
Nurse Anesthetist, Certified Registered in Bethesda, MD. Individual provider (NPI-1).
NPI number1922995083
StatusActive
Last updated in NPPESJun 21, 2025
Details
- NPI
- 1922995083
- Entity type
- Individual (NPI-1)
- Name
- Shiju Santha Nivas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2025
- Certification date
- Jun 21, 2025
- Last updated
- Jun 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11040348 | FL | Yes |
Practice location
8901 Rockville PikeBethesda, MD 20889-0001
Phone 786-218-0073
Mailing address
46244 Grass Meadow WayTemecula, CA 92592-4196
Phone 786-218-0073
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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