NPIMap

Individual provider Active NPI

Shay Mayya, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1366499220
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9264 Issued in TX
Practice address
5930 Royal LN Ste E119
Dallas, TX 75230-3849
Phone
(469) 215-5363
Fax
(844) 804-0653
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081763 MI
Internal Medicine Physician 207R00000X N9264 TX Primary

Addresses

Primary practice location

5930 Royal LN Ste E119
Dallas, TX 75230-3849

Mailing address

5930 Royal LN Ste E119
Dallas, TX 75230-3849
Phone (469) 215-5363

Other identifiers 3

IdentifierTypeStateIssuer
283690001MedicaidTX
283690002MedicaidTX
8CX455OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000440 TX Practitioner - Internal MedicinePractitioner - Hospitalist 0446263909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Sash Healthcare ServicesGroup PAC ID 7719282318, 2 clinicians

Practice addresses (Care Compare)

5930 Royal LN
Suite E 119
Dallas, TX 75230-3849
Phone (469) 215-5363

Hospital & facility affiliations

  • Home Care Network Home health agency, Palestine, TX, CCN 679086
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Texas Health Center for Diagnostics & Surgery Plan Hospital, Plano, TX, CCN 450891
  • Legent Orthopedic Hospital Hospital, Grapevine, TX, CCN 670265
  • Legent Surgical Hospital Plano Hospital, Plano, TX, CCN 670322

Merit-based Incentive Payment System (MIPS)

Final score
81.98 of 100Reported as group
Quality
71.67
Improvement activities
40
Cost
67.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sash Healthcare Services Internal Medicine CurrentSince Jul 20, 2015 Accepting new patients
Paradigm Neurodiagnostics LLC Internal Medicine CurrentSince Dec 2, 2015 Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients
True Medicine, PA Internal Medicine Past Accepting new patients
Texas Health Presbyterian Hospital Plano Past Accepting new patients

Locations

5930 Royal Ln
Ste E119
Dallas, TX 75230
Phone (469) 215-5363

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1366499220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN STE E119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303849",
            "telephone_number": "469-215-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN STE E119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303849",
            "telephone_number": "469-215-5363",
            "fax_number": "844-804-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYYA",
        "first_name": "SHAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081763",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283690001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283690002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CX455",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.