NPIMap

Individual provider Active NPI

Shantala Samart, M.D.

  • Infectious Disease Physician
  • Mansfield, TX
National Provider Identifier
1376720482
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
P0129 Issued in TX
Practice address
350 Matlock Rd Ste 201
Mansfield, TX 76063
Phone
(817) 539-9091
Fax
(817) 539-9553
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X P0129 TX Primary

Addresses

Primary practice location

350 Matlock Rd Ste 201
Mansfield, TX 76063

Mailing address

350 Matlock Rd Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

Other practice location 1

515 W Mayfield Rd Ste 404
Arlington, TX 76014-2085
Phone (817) 539-9091

Other names 1

  • Shantala Subramanyam Former name

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
I20110928000504 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 4688845381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Id Partners PAGroup PAC ID 0042593121, 7 clinicians

Practice addresses (Care Compare)

515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (817) 539-9091

Hospital & facility affiliations

  • Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
75.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Id Partners PA Infectious Disease CurrentSince Jan 5, 2017 Accepting new patients
Mahesh Kottapalli, M.D., P.a. Infectious Disease Past Accepting new patients

Locations

515 W Mayfield Rd
Ste 404
Arlington, TX 76014
Phone (817) 375-5847

350 Matlock Rd
Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

309 Regency Pkwy
Ste 205
Mansfield, TX 76063
Phone (682) 499-1777

Organizations & group practices 2

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 6

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1376720482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "817-539-9091",
            "fax_number": "817-539-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMART",
        "first_name": "SHANTALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P0129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTALA",
            "last_name": "SUBRAMANYAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.