Shital P Chavda, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P9437 Issued in TX

Practice address

2928 N Belt Line Rd
Irving, TX 75062-5247

Phone

(214) 307-7786

Fax

(469) 460-9091

NPI assigned

Jun 17, 2010

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

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shital Chavda MD PLLCGroup PAC ID 0446780951, 2 clinicians

Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shital Chavda M.D., PLLC

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1336968098
  Medicare reassignment Care Compare group NPD Authorized official
• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment Care Compare group
• Oak Street Health of Texas, PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
  • NPI 1497387419

  Family Medicine

  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD (past)
• Coastal Carolina Medical Center, Inc

  • Rural Health Clinic/Center
  • Ridgeland, SC
  • NPI 1124307509
  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1306167085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 GATEWAY DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347904",
            "telephone_number": "352-514-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625247",
            "telephone_number": "214-307-7786",
            "fax_number": "469-460-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760347904",
            "country_code": "US",
            "telephone_number": "352-514-2269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVDA",
        "first_name": "SHITAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD36123",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE MEDICAL BOARD",
            "identifier": "P9437",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anh Lan Chau
• Neha Chaudhary, M.D.
• Rahman Munir Chaudhry, M.D.
• Chautha LLC
• Shailendra N Chavda, M.D
• Alex Miranda Chavez
• Magdalena Vonnahme Chavez, PA-C
• Priscilla N Chavez, MS
• Roxana Chavez, DDS
• Chavonn Johnson

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.