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Dr. Mysore N Shivaram

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NPI Number Detailed Information

Provider Information:

Name: Dr. Mysore N Shivaram
Gender: M
Provider License Number If Given: 36044121

NPI Information:

NPI: 1841238979
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/2/2006

Last Update Date: 6/22/2010

Provider Business Mailing Address:

Address: 6901 CERMAK RD
Berwyn, IL 60402
Phone Number: 7084845660
Fax Number: 7084840194

Provider Business Practice Location Address:

Address: 6901 CERMAK RD
Berwyn, IL 60402
Phone Number: 7084845660
Fax Number: 7084840194

Provider Taxonomy:

Primary: 207RA0401X
Secondary (if any):
State: IL

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About Dr. Mysore N Shivaram

Dr. Mysore N Shivaram (DR. MYSORE N SHIVARAM ) is An Internal Medicine Physician in Berwyn, IL. The NPI Number for Dr. Mysore N Shivaram is 1841238979.
The current location address for Dr. Mysore N Shivaram is 6901 CERMAK RD Berwyn, IL 60402 and the contact number is 7084845660 and fax number is 7084840194. The mailing address for Dr. Mysore N Shivaram is 6901 CERMAK RD Berwyn, IL 60402- 7084845660 (mailing address contact number - 7084845660).
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mysore N Shivaram ?


Answer: The NPI Number for Dr. Mysore N Shivaram is 1841238979

Where is Dr. Mysore N Shivaram located?


Answer: Dr. Mysore N Shivaram is located at 6901 CERMAK RD Berwyn, IL 60402.

What is the specialty for Dr. Mysore N Shivaram ?


Answer: The Specialty of Dr. Mysore N Shivaram is An Internal Medicine Physician.

Are there any online reviews for Dr. Mysore N Shivaram ?


Answer: Not yet!

Are there any other health care providers in Berwyn, IL?


Answer: Yes, there are given below...

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 20
Number of Standardized 30-Day Fills 56
Aggregate Cost Paid for All Claims 662.22
Number of Day's Supply for All Claims 1635
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+ 20
Including Refills, for Beneficiaries Age 65+ 56
Beneficiaries Age 65+ 662.22
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1635
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 20
Aggregate Cost Paid for Generic Drugs 662.22
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 0
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 0
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 20
Aggregate Cost Paid for Claims Filled by 662.22
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 0
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 0
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 20
by Low-Income Subsidy 662.22
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 82.5
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.7245

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