Active NPI
Vikram Kashyap
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1255324083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M0774
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K0139190 | Other | TX | DPS |
| 173563101 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M0774 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Abilene, TX
- NPI 1801889613
-
- Clinical Social Worker
- Fredericksburg, TX
- NPI 1104994284
-
- Psychiatric Hospital
- San Antonio, TX
- NPI 1235402504
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.