Active NPI
Shamita Trivedi, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Dallas, TX
National Provider Identifier
1114187903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- N9003
- Practice address
- 12200 Park Central Dr Ste 200
Dallas, TX 75251-2120 - Phone
- (972) 685-2740
- NPI assigned
- Jun 15, 2008
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | N9003 | TX | Primary |
Addresses
Primary practice location
12200 Park Central Dr Ste 200
Dallas, TX 75251-2120
Mailing address
12200 Park Central Dr Ste 200
Dallas, TX 75251-2120
Phone (972) 685-2740
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayra Jimenez Thompson, MD PLLC | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Connie Casad MD PLLC | Current | Accepting new patients |
Locations
12200 Park Central Dr
Ste 200
Dallas, TX 75251
Phone (972) 528-5590
Interoperability endpoints
- shamita.trivedi@762391221567492.direct.elationemr.com
Organizations & group practices 3
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.
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- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1568808863
-
- Gynecology Physician
- Dallas, TX
- NPI 1326710799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1114187903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 PARK CENTRAL DR STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512120",
"telephone_number": "972-685-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 PARK CENTRAL DR STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512120",
"telephone_number": "972-685-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "SHAMITA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-15",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "N9003",
"primary": true
}
],
"identifiers": [],
"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 Oct 30, 2024; 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.