Individual provider Active NPI

Vandana Mrugesh Shah, MD

  • Internal Medicine Physician
  • Mt Pleasant, TX
National Provider Identifier
1285871681
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P8537 Issued in TX
Practice address
2001 N Jefferson Ave
Suite 204
Mt Pleasant, TX 75455-2338
Phone
(903) 577-7003
Fax
(903) 577-3933
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 P8537 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave
Suite 204
Mt Pleasant, TX 75455-2338

Mailing address

2001 N Jefferson Ave Ste 204
Mt Pleasant, TX 75455-2392
Phone (903) 577-7003

Other names 1

  • Vandana Palan Former name

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
I20140611001416 TX Practitioner - Internal Medicine 2466598354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Restrata Health Group PLLCGroup PAC ID 3971032996, 3 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611

18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292

300 Willow Creek Pkwy
Suite 200
Palestine, TX 75801-4433
Phone (903) 221-0138

701 Olympic Plaza Cir
Tyler, TX 75701-1950
Phone (903) 531-8109

Hospital & facility affiliations

  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • University of Texas Health Science Center at Tyler Hospital, Tyler, TX, CCN 450690
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03289300NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Apr 1, 2021 Accepting new patients
Restrata Health Group PLLC Current Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Apr 1, 2021 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients
Tyler Regional Hospital LLC Past Accepting new patients
Starks Medical Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2001 N Jefferson Ave
Ste 204
Mt Pleasant, TX 75455
Phone (903) 577-6606

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

300 Willow Creek Pkwy
Ste 200
Palestine, TX 75801
Phone (903) 221-0138

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

Interoperability endpoints

  • Direct secure messaging: vshah355565@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Family Health CenterPalestine, TX, CCN 678949 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
W-2 Managing Employee (50%)
Dec 1, 2024
Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1285871681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 204",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552392",
            "telephone_number": "903-577-7003",
            "fax_number": "903-577-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 204",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-7003",
            "fax_number": "903-577-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VANDANA",
        "middle_name": "MRUGESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANDANA",
            "last_name": "PALAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, TX

Sources for this page

Verify at the official NPI Registry.