Mysore N Shivaram MD Sc
NPI 1679888341 · Addiction Medicine (Internal Medicine) Physician · Berwyn, IL
Mysore N Shivaram MD Sc is a Addiction Medicine (Internal Medicine) Physician organization in Berwyn, IL (NPI 1679888341).
Provider details
- NPI number
- 1679888341
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mysore Shivaram, Physician(708) 484-5660
- License
- 036044121 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-18
- Last updated
- 2014-10-15
Frequently asked questions
- What is Mysore N Shivaram MD Sc's NPI number?
- Mysore N Shivaram MD Sc's National Provider Identifier (NPI) is 1679888341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mysore N Shivaram MD Sc?
- Mysore N Shivaram MD Sc is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mysore N Shivaram MD Sc located?
- Mysore N Shivaram MD Sc's practice location on file with NPPES is 6901 Cermak Rd, Berwyn, IL 60402-2160.
- What is Mysore N Shivaram MD Sc's phone number?
- The practice phone number listed in the NPPES registry for Mysore N Shivaram MD Sc is (708) 484-5660.
- Who is the authorized official for Mysore N Shivaram MD Sc?
- The authorized official listed on Mysore N Shivaram MD Sc's NPPES record is Mysore Shivaram, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mysore N Shivaram MD Sc's NPI active?
- Yes — Mysore N Shivaram MD Sc's NPI (1679888341) is active in the NPPES registry as of the last update on 2014-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.