Shital Chavda M.D., PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHITAL CHAVDA M.D., PLLC

Practice address

4214 Gateway Dr Ste 100
Colleyville, TX 76034-7906

Phone

(352) 514-2269

NPI assigned

Oct 8, 2024

Last updated

Nov 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shital Chavda, M.D.NPI 1306167085

Title

Sole Member

Phone

(352) 514-2269

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shital P Chavda, MD

  • Family Medicine Physician
  • Irving, TX
  • NPI 1306167085
  Medicare reassignment Care Compare group NPD Authorized official
• Daniela Salkinder Dillman, NP

  • Family Nurse Practitioner
  • Colleyville, TX
  • NPI 1316371842
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1336968098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630221",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630115",
            "telephone_number": "352-514-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 GATEWAY DR STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347906",
            "telephone_number": "352-514-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHITAL CHAVDA M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "CHAVDA",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "352-514-2269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shimira Holdings Inc (Colleyville Place Assisted Living)
• Marypaula Njouda Shiti, PHARM D
• Shokr Hydration PLLC
• Marie Shutt
• Batool Summer Siddiqui, CPO
• Signature Home Care LLC

• Family Medicine Physician in Colleyville, TX
• Providers in Colleyville, 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 Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.