Shylesh Ganta ,MD , PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K9066 Issued in TX

Legal business name

SHYLESH GANTA ,MD , PA

Practice address

3401 Greenbriar Ste 100
Midland, TX 79707-4607

Phone

(432) 683-6558

Fax

(432) 682-5104

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shylesh Ganta, MDNPI 1811900657

Title

Director

Phone

(432) 770-8286

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shylesh R. Ganta, M.D.

  • Internal Medicine Physician
  • Midland, TX
  • NPI 1811900657
  Medicare reassignment Care Compare group Authorized official
• Sapna Chilka, MD

  • Internal Medicine Physician
  • Midland, TX
  • NPI 1790972610
  Medicare reassignment Care Compare group
• Tiffany Hansen, NP-C

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1750794749
  Medicare reassignment
• Rowena O Bullen, NP

  • Nurse Practitioner
  • Midland, TX
  • NPI 1407840507
  NPD (past)
• Donna Lee Davis, GNP

  • Gerontology Nurse Practitioner
  • Bertram, TX
  • NPI 1952564478
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1124217310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4083",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044083",
            "telephone_number": "432-683-6558",
            "fax_number": "432-682-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GREENBRIAR STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074607",
            "telephone_number": "432-683-6558",
            "fax_number": "432-682-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYLESH GANTA ,MD , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "GANTA",
        "authorized_official_first_name": "SHYLESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "432-770-8286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192864001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott E Sheward, M.D.
• Zelda Ann Shorts, LCDC,CPS
• Leena N Shroff, MD
• Nipank N Shroff, MD PA
• Miranda L Shurley, LPC-ASSOCIATE
• Afsheen Siddiqui
• Ansley K Siemer, PA-S
• Bill Sigsbee
• Fukamanji Sikazwe, APRN, FNP-C
• James L Sikes, MD

• Internal Medicine Physician in Midland, TX
• Providers in Midland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.