Active NPI
Shamsuddin Sherali Pepermintwala, MD
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1316035546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K4525
- Practice address
- 1340 River Bend Dr
Dallas, TX 75247-4914 - Phone
- (214) 743-6188
- Fax
- (214) 905-9245
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K4525 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | K4525 | TX |
Addresses
Primary practice location
1340 River Bend Dr
Dallas, TX 75247-4914
Mailing address
1340 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-6188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4525 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Pepermintwala PLLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas Metrocare Services | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Adapt of Texas, Inc. | Past | Accepting new patients | |
| Dallas Metrocare Service | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas Metrocare Services | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas Metrocare Services | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas Metrocare Services | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients | |
| Dallas County MHMR | Past | Accepting new patients |
Organizations & group practices 21
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.
-
- Child & Adolescent Psychiatry Physician
- Midland, TX
- NPI 1609320464
Child & Adolescent Psychiatry
-
- Case Management Agency
- Dallas, TX
- NPI 1629093117
-
- Intellectual Disabilities Intermediate Care Facility
- Garland, TX
- NPI 1013138866
-
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1053530980
-
- Developmental Disabilities Clinic/Center
- Dallas, TX
- NPI 1114148970
-
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1336368265
-
- Intellectual Disabilities Intermediate Care Facility
- Duncanville, TX
- NPI 1356560288
-
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1437370293
-
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1508085424
-
- Assisted Living Facility (Behavioral Disturbances)
- Dallas, TX
- NPI 1558582312
-
- Assisted Living Facility (Behavioral Disturbances)
- Dallas, TX
- NPI 1649491408
-
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1659590586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1316035546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 RIVER BEND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474914",
"telephone_number": "214-743-6188",
"fax_number": "214-905-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 RIVER BEND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474914",
"telephone_number": "214-743-6188",
"fax_number": "214-905-9245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPERMINTWALA",
"first_name": "SHAMSUDDIN",
"middle_name": "SHERALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K4525",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "K4525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.