Active NPI
Shyama Gandhi, MD
- Family Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N7261
- Practice address
- 4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5047 - Phone
- (214) 750-5100
- Fax
- (214) 750-4500
- NPI assigned
- Jun 19, 2007
- Last updated
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N7261 | TX | Primary |
Addresses
Primary practice location
4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5047
Mailing address
4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5047
Phone (214) 750-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8X0099 | Other | TX | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Family Medicine | Current | Accepting new patients |
Locations
3400 W Wheatland Rd
Ste 360
Dallas, TX 75237
4235 W Northwest Hwy
Ste 400
Dallas, TX 75220
Phone (214) 750-5100
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1023213063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 W NORTHWEST HWY",
"address_2": "SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752205047",
"telephone_number": "214-750-5100",
"fax_number": "214-750-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 W NORTHWEST HWY",
"address_2": "SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752205047",
"telephone_number": "214-750-5100",
"fax_number": "214-750-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "SHYAMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N7261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8X0099",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.