Shaily Patel Kesani, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

Q3213 Issued in TX

Practice address

4471 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-1795

Phone

(972) 316-4555

Fax

(972) 316-4550

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Pittsburgh School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skesani@mcguiness.emadirect.md
• Direct secure messaging: skesani@dermatologymd.emadirect.md

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.

• Dermatology MD PLLC

  • Dermatology Physician
  • North Richland Hills, TX
  • NPI 1316554413
  Medicare reassignment NPD Authorized official
• Dr Michael McGuiness, PA

  dba McGuiness Dermatology

  • Dermatology Physician
  • Prosper, TX
  • NPI 1396920823
  NPD

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1306012166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "972-316-4555",
            "fax_number": "972-316-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD",
            "address_2": "SUITE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "972-316-4555",
            "fax_number": "972-316-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESANI",
        "first_name": "SHAILY",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.127261",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q3213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "213247008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karri D.Dutton,M.D.,P.a. (KidsCare)
• Erin Alyssa Kast, MA BCBA
• Tejaswi Katakam, MD
• Michelle Renee Keffer
• Kent F. Dickson, M.D. PA
• Susamita Kesh, MD
• Anh Tuyet Annie Kha
• Mona Khalid, M.D.
• Mohammed Khan, M.D.
• Nazish Khurram, M.D.

• Dermatology Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.

Verify at the official NPI Registry.