Individual provider Active NPI

Taneya Shestopalova, MD

  • Diagnostic Radiology Physician
  • Galveston, TX
National Provider Identifier
1528293263
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S0985 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555
Phone
(409) 772-1011
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47475 AZ
Neuroradiology Physician 2085N0700X S0985 TX
Diagnostic Radiology Physician 2085R0202X S0985 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555

Mailing address

PO Box 650859
Dept 710
Dallas, TX 75265-0859
Phone (409) 772-2222

Other practice location 1

301 University Blvd
Galveston, TX 77555
Phone (409) 772-1011

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
I20190618000576 TX Practitioner - Diagnostic Radiology 3476872284 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
33.04

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47475AZMDNeurology Physician
S0985TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Neurology CurrentSince May 30, 2019 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Austin Radiological Association CurrentSince Apr 1, 2026 Accepting new patients
Austin Radiological Association CurrentSince Apr 1, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Radiology Consultants of Nacogdoches LLP Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Singleton Associates PA Neuroradiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Interoperability endpoints

  • Direct secure messaging: tshestopalova44343@direct.utmb.edu

Organizations & group practices 12

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 9

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1528293263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650859",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77555",
            "telephone_number": "409-772-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77555",
            "country_code": "US",
            "telephone_number": "409-772-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHESTOPALOVA",
        "first_name": "TANEYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "47475",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "S0985",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S0985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.