Individual provider Active NPI

Bineeta Shukla

  • Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1366814832
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129524 Issued in TX
Practice address
2201 S Clear Creek Rd
Killeen, TX 76549-4110
Phone
(254) 526-7523
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP129524 TX Primary

Addresses

Primary practice location

2201 S Clear Creek Rd
Killeen, TX 76549-4110

Mailing address

616 Trailside BND
Round Rock, TX 78665-2114
Phone (571) 214-8691

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
I20160210002382 TX Practitioner - Nurse Practitioner 7719281823 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

12005 Bee Caves Rd
V
Austin, TX 78738-6385
Phone (512) 225-0766

1501 FM
Suite 685
Pflugerville, TX 78660-3576
Phone (737) 279-7984

16191 Ranch Rd 620
Austin, TX 78717-5088
Phone (512) 593-7827

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 462-3627

4851N Interstate 35
Round Rock, TX 78664-2405
Phone (512) 486-6140

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

9900S Interstate 35
Austin, TX 78748-3885
Phone (512) 291-5577

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Apr 26, 2023 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 23, 2022 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Oct 10, 2025 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Rodom Medical Consulting PA CurrentSince Apr 15, 2019 Accepting new patients
TMC Provider Group PLLC CurrentSince Apr 26, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Oct 10, 2025 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

4303 Victory Dr
Austin, TX 78704

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

5400 Crosslake Pkwy
Ste 300
Waco, TX 76712
Phone (254) 420-2336

3811 Bee Caves Rd
Ste 101
West Lake Hills, TX 78746
Phone (512) 443-3500

Interoperability endpoints

  • Direct secure messaging: bineeta.shukla.1@8042.direct.athenahealth.com

Organizations & group practices 9

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1366814832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 TRAILSIDE BND",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652114",
            "telephone_number": "571-214-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-526-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "BINEETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.