Individual provider Active NPI

Somya Shesadri, MD

  • Student in an Organized Health Care Education/Training Program
  • Edinburg, TX
National Provider Identifier
1083350359
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5321 S McColl Rd
Edinburg, TX 78539-9168
Phone
(956) 362-7968
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5321 S McColl Rd
Edinburg, TX 78539-9168

Mailing address

5321 S McColl Rd
Edinburg, TX 78539-9168
Phone (956) 362-7968

Other names 1

  • Dr. Somya Shesadri Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231006002473 MD Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 8325493695

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1083350359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-362-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-362-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHESADRI",
        "first_name": "SOMYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOMYA",
            "last_name": "SHESADRI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.