Roopam Shyam, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M6396 Issued in TX

Practice address

1420 W Exchange Pkwy Ste 120
Allen, TX 75013-4696

Phone

(972) 521-6210

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Roopam Shrivastava Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Indiana University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roopam.shyam@vfmhelp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AHFACD/Endpoint/AHFACD

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.

• Vitals Family Medicine PLLC

  • Family Medicine Physician
  • Allen, TX
  • NPI 1174046452
  Medicare reassignment NPD Authorized official
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1417152182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W MCDERMOTT DR STE 320-182",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134694",
            "telephone_number": "469-247-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W EXCHANGE PKWY STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134696",
            "telephone_number": "972-521-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11655 Independence Parkway",
            "address_2": "Unit 240",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "972-521-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHYAM",
        "first_name": "ROOPAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROOPAM",
            "last_name": "SHRIVASTAVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Kay Shidaker
• Margaret N Shield, LPC ASSOCIATE
• Shiloh Health Care Services
• Sherryl Denise Shipes, D.O.
• Alysse Shropshire, LPC
• Sara Sibley
• Nadia H Siddiqi, DO
• Siddique Medical Associates PA
• Zeba Siddiqui
• Rhea Nicole Siemsen, LPC-A, LCDC

• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.