Individual provider Active NPI

Shyamala Madhavi Arani Purushotham, M.D, FACP

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1235547480
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5961 Issued in TX
Practice address
6300 Stonewood Dr Ste 200
Plano, TX 75024-5281
Phone
(214) 666-6259
Fax
(855) 618-2235
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5961 TX Primary

Addresses

Primary practice location

6300 Stonewood Dr Ste 200
Plano, TX 75024-5281

Mailing address

6300 Stonewood Dr Ste 200
Plano, TX 75024-5281
Phone (214) 666-6259

Other practice location 1

230 O'Connor Ridge Blvd
Suite 110
Irving, TX 75038
Phone (214) 666-6259

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926000940 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3577862259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHP Ins TX PLLCGroup PAC ID 5698194702, 17 clinicians

Practice addresses (Care Compare)

8195 Custer Rd
Frisco, TX 75035-3190
Phone (214) 666-6259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5961TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 13, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
PHP Ins TX PLLC Internal Medicine CurrentSince Jun 2, 2021 Accepting new patients
Passion Health Physicians PLLC Internal Medicine PastSince Jun 21, 2021 Accepting new patients

Locations

8195 Custer Rd
Ste 110
Frisco, TX 75035
Phone (469) 830-8835

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

230 O Connor Ridge Blvd
#110
Irving, TX 75038

230 O Connor Ridge Blvd
Ste 110
Irving, TX 75038

6300 Stonewood Dr
Ste 200
Plano, TX 75024
Phone (972) 867-1803

720 E Park Blvd
Ste 106
Plano, TX 75074
Phone (972) 423-5613

Interoperability endpoints

  • Direct secure messaging: shyamalamadhavi.aranipurushotham@txpitp.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1235547480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245281",
            "telephone_number": "214-666-6259",
            "fax_number": "855-618-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245281",
            "telephone_number": "214-666-6259",
            "fax_number": "855-618-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 O'Connor Ridge Blvd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75038",
            "country_code": "US",
            "telephone_number": "214-666-6259",
            "fax_number": "855-618-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARANI PURUSHOTHAM",
        "first_name": "SHYAMALA MADHAVI",
        "name_prefix": "Dr.",
        "credential": "M.D, FACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R5961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.