Shivakumar Narayanan, MBBS, MD
- Academic Title: Associate Professor
- Primary Appointment: Medicine
- Administrative Title: Director of Hepatitis Research - Institute of Human Virology
- Additional Title: Associate Professor of Medicine, Division of Clinical Care and Research, IHV Co-Director, THRIVE clinic at University of Maryland Director General ID Consult Service
- Email: snarayanan@ihv.umaryland.edu
- Location: 725 W Lombard St, Baltimore, MD 21201
- Phone (Primary): 4107064750
- Fax: 4432314180
Education and Training
2002 M.B.B.S., University of Pune, India
2006 M.D., University of Mumbai, India
2026 MPH University of Maryland School of Medicine
2008-2011 Residency, Internal Medicine, MedStar Health, Baltimore
2011-2013 Fellowship, Infectious Diseases, University of Maryland Medical Center
Biosketch
Shivakumar Narayanan is Associate Professor of Medicine at the University of Maryland School of Medicine’s Institute of Human Virology. He serves as Co-Director of THRIVE, where he helps lead comprehensive HIV care and initiatives to improve engagement and retention in care, and as Director of the General Infectious Diseases inpatient service. His clinical and research interests focus on HIV, hepatitis C, and infectious complications of substance use. At the Health and Recovery Practice (HARP), he integrates HIV prevention, infectious disease screening, and hepatitis C treatment with addiction care to reach people who face barriers to traditional healthcare. He helped establish the University of Maryland’s OPAT program and continues to develop accessible, integrated models of care. He also teaches and mentors medical students, residents, and infectious diseases fellows.
Research/Clinical Keywords
HIV; hepatitis C; infectious complications of substance use; injection drug use–associated endocarditis; outpatient parenteral antimicrobial therapy (OPAT); long-acting antimicrobials; harm reduction; integrated infectious diseases and addiction care; linkage and retention in care.
Highlighted Publications
- Purcell M, Gnilopyat S, Makwana B, Narayanan S. Comparison of Outcomes of Percutaneous Mechanical Aspiration vs Tricuspid Valve Surgery in Drug Use-Associated Endocarditis of the Tricuspid Valve. Open Forum Infect Dis. 2025 Apr 25;12(5):ofaf259.
- Narayanan S, Sneller L, Mathur P. To be or not to be: the non-antimicrobial properties of common antimicrobials. J Antimicrob Chemother. 2025 Jul 1;80(7):1772-1783
- Matannah N, Ringwala A.Surapaneni A, Miller S, Sawyer A, Narayanan S Harm reduction in practice: baseline cohort description and early engagement trends in an incentive-based program for PWUD. . Ther Adv Infect Dis, 13, 20499361261420916.
- Feng S, Narayanan S, Mengjie L, Chen H, Johnson K, Christenson RH False-reactive fourth-generation HIV screening results before, during, and after COVID-19 pandemic in a high-prevalence urban medical center. Journal of Clinical Virology, 186, 105991
- Narayanan S, Ching PR, Traver EC, George N, Amoroso A, Kottilil S. Predictors of Nonadherence Among Patients With Infectious Complications of Substance Use Who Are Discharged on Parenteral Antimicrobial Therapy. Open Forum Infect Dis. 2022 Dec 13;10(1):ofac633
Additional Publications
- Weinreich, D. M., Sivapalasingam, S., Norton, T et al Trial Investigators (2021). REGEN-COV Antibody Combination and Outcomes in Outpatients with Covid-19. The New England journal of medicine, 385(23), e81.
- O'Brien, M. P., Forleo-Neto, E., Sarkar, N., Isa, F., et al. COVID-19 Phase 3 Prevention Trial Team (2022). Effect of Subcutaneous Casirivimab and Imdevimab Antibody Combination vs Placebo on Development of Symptomatic COVID-19 in Early Asymptomatic SARS-CoV-2 Infection: A Randomized Clinical Trial. JAMA, 10.1001/jama.2021.24939.
- Narayanan S, Chua JV, Baddley JW. COVID associated Mucormycosis: risk factors and mechanisms of disease. Clin Infect Dis. 2021 Aug 22:ciab726
- Narayanan S, Abutaleb A, Sherman KE, Kottilil S. Clinical manifestations and determinants of chronicity in hepatitis E virus infection. J Viral Hepat. 2019; 00:1-8.
- Narayanan S, Heil E, Chua J, Kottilil S. COVID19- pitfalls of offering research participation as therapy in clinical settings. Journal of General Internal Medicine (2020), 35(11)
Research Interests
Infectious diseases at the intersection of substance use, HIV, hepatitis C, and social barriers to care. My interests include integrated infectious diseases and addiction treatment, harm reduction, long-acting therapies, and interventions that improve linkage to care and treatment completion. I also investigate endocarditis, wound-related infections, and amyloid kidney disease among people who inject drugs, alongside the development of practical care pathways for resource-limited settings.
Awards and Affiliations
Baltimore magazine top doctor 2022-2026
GloBaltimore teaching fellowship to incorporate global concepts into new or existing courses, awarded by the University of Maryland, Baltimore. 2020
Grants and Contracts
Co-Principal Investigator on the SAMHSA-funded Minority AIDS Initiative for high-risk populations in Baltimore City and the Center for Disease Analysis Foundation’s Hepatitis C Relink project.
Principal Investigator for the CROWN study of long-acting cabotegravir and rilpivirine in people with HIV and viremia and for a Maryland Governor’s Office of Crime Prevention and Policy–funded project.
Previous funded work includes long-acting antimicrobials integrated with treatment for opioid use disorder, molecular diagnostic testing, and clinical trials of HIV and COVID-19 therapies.
In the News
Community Service
Professional Activity
Fellow ACP
Fellow IDSA
Member Delta Omega Honor Society in Public Health
Lab Specialties
Links of Interest