Shashi Mittal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L8841 Issued in TX

Practice address

7622 Louis Pasteur Dr Ste 100
San Antonio, TX 78229-4019

Phone

(210) 614-7840

Fax

(210) 614-6421

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shashi Gupta Former name

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

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shashi.mittal@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Wellmed Medical Group, P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1669778304

  Family Medicine

  NPD
• Alamo City Medical Group, PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1558354092
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1104883255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-614-7840",
            "fax_number": "210-614-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-614-7840",
            "fax_number": "210-614-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "SHASHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASHI",
            "last_name": "GUPTA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nirali Mithal
• Moez Mithani, MD
• Tanisha Mitra, DO
• Zachary Mitchell Kimo Mitsui
• Akash Mittal, DO
• Brant Steven Mittler, M.D.
• Alfiya Mityukova, RN
• Miwa Medical Group, PLLC
• Edward Alejandro Miwa, M.D.
• Mohammad Reza Mizani, M.D.

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.