Individual provider Active NPI

Shagufta Lakhani, FNP-C

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1346691656
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131216 Issued in TX
Practice address
2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone
(512) 244-4272
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131216 TX Primary

Addresses

Primary practice location

2000 S Mays St Ste 201
Round Rock, TX 78664-7580

Mailing address

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272

Other identifiers 1

IdentifierTypeStateIssuer
402412701MedicaidTX

Other names 1

  • Shagufta Sadruddin Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815000543 TX Practitioner - Nurse Practitioner 8426342486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

203 N Ih
35 Suite C
Belton, TX 76513-3515
Phone (254) 741-6641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131216TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone MD PA CurrentSince Feb 27, 2022 Accepting new patients
Mark Malone MD PA CurrentSince Jun 25, 2016 Accepting new patients
Mark Malone, MD PA CurrentSince Jun 25, 2016 Accepting new patients

Locations

3418 N Lamar Blvd
Ste 100
Austin, TX 78705

6000 S Mopac Expy
Ste 100
Austin, TX 78749

101 W Louis Henna Blvd
Ste 300
Austin, TX 78728

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

203 N Interstate 35
Ste C
Belton, TX 76513

351 Cypress Creek Rd
Ste 201
Cedar Park, TX 78613
Phone (254) 669-9643

625 McClintic Dr
Groesbeck, TX 76642
Phone (254) 399-0741

23510 Kingsland Blvd
Ste 240
Katy, TX 77494
Phone (281) 206-4496

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

3500 Hillcrest Dr
Ste 1
Waco, TX 76708

Interoperability endpoints

  • Direct secure messaging: shagufta.lakhani.1@24201.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1346691656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHANI",
        "first_name": "SHAGUFTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402412701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAGUFTA",
            "last_name": "SADRUDDIN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.