Active NPI
Shenbagavalli Palaniswamy, M.D
- Pediatrics Physician
- Carrollton, TX
National Provider Identifier
1376724336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q2935
- Practice address
- 2008 E Hebron Pkwy
Suite 120
Carrollton, TX 75007-1601 - Phone
- (972) 695-9630
- Fax
- (888) 374-2574
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q2935 | TX | Primary |
Addresses
Primary practice location
2008 E Hebron Pkwy
Suite 120
Carrollton, TX 75007-1601
Mailing address
2008 E Hebron Pkwy
Suite 120
Carrollton, TX 75007-1601
Phone (972) 695-9630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q2935 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hebron Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Carrollton, TX
- NPI 1164971099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1376724336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 E HEBRON PKWY",
"address_2": "SUITE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071601",
"telephone_number": "972-695-9630",
"fax_number": "888-374-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 E HEBRON PKWY",
"address_2": "SUITE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071601",
"telephone_number": "972-695-9630",
"fax_number": "888-374-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANISWAMY",
"first_name": "SHENBAGAVALLI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q2935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.