Pushpa Shivaram, MD
NPI 1306192604ActiveIndividual· Pediatrics, Pediatric Cardiology· Marshfield, WI
Pediatrics, Pediatric Cardiology (MD) with Wellstar Medical Group LLC, practicing in Marshfield, Wisconsin. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine. Vital Connect, Inc reported $31.52 in payments in 2025, mostly food and beverage. Lists Wellstar McG Health, Affiliated With Med Col as a hospital affiliation.
Overview
| NPI | 1306192604 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 24, 2012 |
| Last updated in NPPES | Jul 6, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Cardiology Primary | 2080P0202X | 080240 | GA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (GA); Practitioner - Pediatric Medicine (SC) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Wellstar Medical Group LLCMarietta, GA · 3,093 clinicians
Hospital affiliation
- Wellstar McG Health, Affiliated With Med ColAugusta, GA
Industry payments (Open Payments)
- 2025$31.52 · 1 payment from 1 company
- 2024$29.80 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vital Connect, Inc | $31.52 | 1 |
What the 2025 payments were for
- Food and Beverage$31.52 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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