Individual provider Active NPI

Vikram Kashyap

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1255324083
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M0774 Issued in TX
Practice address
17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone
(409) 457-4422
Fax
(314) 887-7501
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X M0774 TX
Psychiatry Physician 2084P0800X M0774 TX Primary

Addresses

Primary practice location

17720 Corporate Woods Dr
San Antonio, TX 78259-3500

Mailing address

7810 Hermosa HL
San Antonio, TX 78256-2455
Phone (210) 692-0224

Other identifiers 2

IdentifierTypeStateIssuer
K0139190OtherTXDPS
173563101MedicaidTX

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
I20050624000758 TX Practitioner - Psychiatry 3971548470 Practice locations: San Antonio, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0774TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Laurel Ridge Hospital, L.P. Past Accepting new patients
HHM LLC Psychiatry Past Accepting new patients
Jamison Professional Counseling Center Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1255324083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 HERMOSA HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562455",
            "telephone_number": "210-692-0224",
            "fax_number": "210-614-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 CORPORATE WOODS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593500",
            "telephone_number": "409-457-4422",
            "fax_number": "314-887-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHYAP",
        "first_name": "VIKRAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "M0774",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M0774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "K0139190",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173563101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.