Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shiva Pavan Ponamgi, MD

Individual provider Internal Medicine Physician · NPI 1669743118

Dr. Shiva Pavan Ponamgi, MD is an Interventional Cardiology in Omaha, Nebraska. Qualified in 2007, 19 years ago. Practices with CHI Health Clinic Specialty LLC, a 312-clinician group and accepts Medicare assignment. Licensed in Minnesota, Nebraska and New Jersey.

Years since qualifying
19
Licensed in
MN, NE, NJ
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7500 Mercy Rd
Omaha, NE 68124-2319
Phone: (402) 398-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 36422 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57047 (MN)
Hospitalist Physician Taxonomy 208M00000X · Licence 57047 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PERMIT ONLY (NJ)

Record details

NPI number1669743118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2012
Last updated in NPPESJuly 7, 2024
Certification dateJuly 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Chi Health Clinic Specialty Llc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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