DR. SHIRIN RAMANI DESILVA (MD) – Occupational Medicine Physician, NPI 1295793818
Occupational Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 PREVENTIVE MEDICINE in AR
Provider Addresses for DR. SHIRIN RAMANI DESILVA (MD)
1101 Jackson St SW
Gravette, AR 727369121
Phone: (479) 787-5291
Type: Location
4600 MERCY LN STE 240
SPRINGDALE, AR 727623070
Phone: (479) 347-3812
Fax: (479) 347-3678
Type: Mailing
Ozarks Community Hospital of Gravette, 1101, Jackson Street Southwest, Gravette, Benton County, Arkansas, 72736, United States
GRAVETTE, AR 727369121
Phone: (479) 787-5291
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040714001560 | I | Preventive Medicine | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72736)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | AR | |
| Internal Medicine, General Practice | AR | |
| - | AR | |
| R H E U M A T O L O G Y | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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