Individual provider Active NPI

Shyamala Miryala, MD

  • Internal Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1013019744
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4596 Issued in TX
Practice address
4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Phone
(469) 322-7481
Fax
(469) 322-7807
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101228924 VA
Internal Medicine Physician 207R00000X P4596 TX Primary

Addresses

Primary practice location

4400 Long Prairie Rd
Flower Mound, TX 75028-1892

Mailing address

4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Phone (469) 322-7481

Other identifiers 2

IdentifierTypeStateIssuer
313368803MedicaidTX
313368804MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000248 TX Practitioner - Internal Medicine 7012917834 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Phone (469) 322-7083

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Matrix, PLLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Questcare Matrix, PLLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Dec 9, 2013 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 9, 2013 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine Past Accepting new patients
Hospital & Critical Care Specialists of Loudoun, PLC Past Accepting new patients
Flower Mound Hospital Partners, LLC Past Accepting new patients
Loudoun Hospital Center Hospitalist Past Accepting new patients
Texas Health Physicians Group Internal Medicine Past Accepting new patients
Culpeper Medical Associates, LLC Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: smiryala410067@direct.texashealth.org
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1013019744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281892",
            "telephone_number": "469-322-7481",
            "fax_number": "469-322-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281892",
            "telephone_number": "469-322-7481",
            "fax_number": "469-322-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRYALA",
        "first_name": "SHYAMALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101228924",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313368803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313368804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.