Active NPI
Shirin Trisha, MD
- Internal Medicine Physician
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9878
- Practice address
- 1401 Medical Pkwy
Cedar Park, TX 78613-7763 - Phone
- (512) 528-7000
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R9878 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | R9878 | TX | Primary |
Addresses
Primary practice location
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Mailing address
11915 Stonehollow Dr Apt 727B
Austin, TX 78758-3015
Phone (512) 909-8673
Other practice location 1
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (254) 690-0900
Other practice location 2
4301 W Markham St
Little Rock, AR 72205-7101
Phone (512) 909-8673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
- Sutter Roseville Medical Center
- Sutter Medical Center, Sacramento
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9878 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- strisha629477@hisp.ehr.sutterhealth.org
- strisha274616@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1285021659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11915 STONEHOLLOW DR APT 727B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583015",
"telephone_number": "512-909-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MEDICAL PKWY",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137763",
"telephone_number": "512-528-7000"
}
],
"practiceLocations": [
{
"address_1": "850 W Central Texas Expy",
"address_purpose": "LOCATION",
"city": "Harker Heights",
"state": "TX",
"postal_code": "765481890",
"country_code": "US",
"telephone_number": "254-690-0900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "512-909-8673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRISHA",
"first_name": "SHIRIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R9878",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "R9878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.
- 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.