Reshaped PLLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

Q7467 Issued in TX

Legal business name

RESHAPED PLLC

Practice address

2008 E Hebron Pkwy #114
Carrollton, TX 75007

Phone

(469) 431-0544

NPI assigned

Sep 1, 2018

Last updated

Jun 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharlene Karmini Selvaratnam, MDNPI 1972703957

Title

Medical Director

Phone

(469) 431-0544

Specialties & licenses 1

Addresses

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 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharlene Selvaratnam, M.D.

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1972703957
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Elizabeth Canter, PA

  • Physician Assistant
  • Carrollton, TX
  • NPI 1679898381
  Medicare reassignment Care Compare group NPD
• Aisha Javed Khan, MCN, RD, LD

  • Registered Dietitian
  • Lavon, TX
  • NPI 1992579619
  Medicare reassignment Care Compare group NPD
• Thuha Ngoc Pham, M.D.

  • Internal Medicine Physician
  • Carrollton, TX
  • NPI 1598908410
  Medicare reassignment Care Compare group NPD
• Pearl Guerzon, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1851599765

  TX

  Medicare reassignment Care Compare group NPD
• Meagan Gray Duncan, P.A.-C

  • Physician Assistant
  • Frisco, TX
  • NPI 1568865434
  Medicare reassignment Care Compare group
• Rachel Lauren Werling, RD

  • Registered Dietitian
  • Emporia, KS
  • NPI 1194357350
  NPD

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1184106510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 E HEBRON PKWY STE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071601",
            "telephone_number": "469-431-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 E HEBRON PKWY #114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007",
            "telephone_number": "469-431-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESHAPED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "SELVARATNAM",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_middle_name": "KARMINI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-431-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "TX",
            "license": "Q7467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obesity Medicine (Family Medicine) Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Obesity Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.