Individual provider Active NPI

Shailesh C Kadakia, MD

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1295767861
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J0544 Issued in TX
Practice address
520 E Euclid Ave
Shailesh C Kadakia MD PA
San Antonio, TX 78212-4414
Phone
(210) 271-0606
Fax
(210) 475-9806
NPI assigned
Jul 6, 2006
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J0544 TX
Gastroenterology Physician 207RG0100X J0544 TX Primary

Addresses

Primary practice location

520 E Euclid Ave
Shailesh C Kadakia MD PA
San Antonio, TX 78212-4414

Mailing address

520 E Euclid Ave
Shailesh C Kadakia MD PA
San Antonio, TX 78212-4414
Phone (210) 271-0606

Other identifiers 1

IdentifierTypeStateIssuer
143717001MedicaidTX

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
I20040724000185 TX Practitioner - Gastroenterology 8820078231 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0544TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Sep 1, 2019 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Sep 1, 2019 Accepting new patients

Locations

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

150 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (512) 271-0606

150 E Sonterra Blvd
Ste 250
San Antonio, TX 78258
Phone (512) 271-0606

520 E Euclid Ave
San Antonio, TX 78212

520 E Euclid Ave
#C
San Antonio, TX 78212

Interoperability endpoints

  • Direct secure messaging: shkadakia@665dae63.micromddirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1295767861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E EUCLID AVE",
            "address_2": "SHAILESH C KADAKIA MD PA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124414",
            "telephone_number": "210-271-0606",
            "fax_number": "210-475-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E EUCLID AVE",
            "address_2": "SHAILESH C KADAKIA MD PA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124414",
            "telephone_number": "210-271-0606",
            "fax_number": "210-475-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "SHAILESH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J0544",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J0544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143717001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.