Individual provider Active NPI

Gaurang N. Shah, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
National Provider Identifier
1477509677
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
L6630 Issued in TX
Practice address
919 E 32ND St
Austin, TX 78705-2703
Phone
(512) 476-7111
NPI assigned
May 26, 2006
Last updated
May 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L6630 TX
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X L6630 TX Primary

Addresses

Primary practice location

919 E 32ND St
Austin, TX 78705-2703

Mailing address

900 West Ave
Austin, TX 78701-2210
Phone (512) 708-8654

Other identifiers 2

IdentifierTypeStateIssuer
158168802MedicaidTX
158168801MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000066 TX Practitioner - Emergency Medicine 3476617192 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6630TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Jan 4, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Aug 25, 2017 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Capitol City Emergency Staffing PA Emergency Medical Services Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

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

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1477509677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012210",
            "telephone_number": "512-708-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052703",
            "telephone_number": "512-476-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GAURANG",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L6630",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "L6630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158168802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158168801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.