Individual provider Active NPI

Shiwali Rai, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1346283090
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2759 Issued in TX
Practice address
2909 B McKinney Avenue
Citydoc Uptown Urgent Care Center
Dallas, TX 75204
Phone
(214) 871-7000
Fax
(214) 871-7020
NPI assigned
Jun 13, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2759 TX Primary

Addresses

Primary practice location

2909 B McKinney Avenue
Citydoc Uptown Urgent Care Center
Dallas, TX 75204

Mailing address

14181 Noel Rd
3110
Dallas, TX 75254-4386
Phone (972) 458-2572

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
I20110825000132 TX Practitioner - Family Practice 7719155308 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citydoc Urgent Care Center 3 ,PLLCGroup PAC ID 3072762475, 16 clinicians
City Doc Uptown Urgent Care Center PLLCGroup PAC ID 8729243274, 15 clinicians
CD Urgent Care Center 5, PLLCGroup PAC ID 5698070928, 17 clinicians
Citydoc Urgent Care Center 2, PLLCGroup PAC ID 9638354103, 20 clinicians

Practice addresses (Care Compare)

10759 Preston Rd
Suite 200
Dallas, TX 75230-3806
Phone 21487170007109

2909 McKinney Ave
Suite B
Dallas, TX 75204-7413
Phone 21487170007109

3116 W 6TH St
Suite 100
Fort Worth, TX 76107-2731
Phone (817) 984-8687

5301 W Lovers Lane
Suite 109
Dallas, TX 75209-4244
Phone (214) 352-7800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2759TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citydoc Urgent Care Center 2, PLLC CurrentSince Nov 28, 2010 Accepting new patients
CD Urgent Care Center 5, PLLC CurrentSince Jan 4, 2016 Accepting new patients
Citydoc Urgent Care Center 3, PLLC CurrentSince Oct 1, 2012 Accepting new patients
City Doc Uptown Urgent Care Center, PLLC CurrentSince Feb 14, 2012 Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Reclaim Physicians Medical Group Inc Family Medicine PastSince Jan 4, 2016 Accepting new patients

Locations

10759 Preston Rd
#200
Dallas, TX 75230
Phone (214) 871-7000

2807 Allen St
Dallas, TX 75204
Phone (469) 781-1478

2909 McKinney Ave
Ste B
Dallas, TX 75204
Phone (214) 871-7000

5301 W Lovers Ln
Ste 109
Dallas, TX 75209
Phone (214) 352-7800

3020 W 7th St
Ste 210
Fort Worth, TX 76107
Phone (817) 984-8687

3116 W 6th St
Ste 100
Fort Worth, TX 76107

Organizations & group practices 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1346283090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14181 NOEL RD",
            "address_2": "3110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544386",
            "telephone_number": "972-458-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 B MCKINNEY AVENUE",
            "address_2": "CITYDOC UPTOWN URGENT CARE CENTER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "214-871-7000",
            "fax_number": "214-871-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "SHIWALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.