Organization Active NPI

Atx Infectious Disease Specialists PLLC

  • Infectious Disease Physician
  • Georgetown, TX
National Provider Identifier
1548095409
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
ATX INFECTIOUS DISEASE SPECIALISTS PLLC
Practice address
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone
(702) 960-2115
NPI assigned
Sep 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Shobhit R Keswani, MDNPI 1427519073
Title
Co-Manager
Phone
(281) 885-9891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2000 Scenic Dr
Georgetown, TX 78626-7726

Mailing address

16238 Ranch Road 620 N Ste E393
Austin, TX 78717-5212
Phone (702) 960-2115

Other practice location 1

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (702) 960-2115

Other identifiers 2

IdentifierTypeStateIssuer
1427519073MedicaidNV
1770043499MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241219004459 TX Part B Supplier - Clinic/Group Practice 7113454794 Receives reassigned benefits from 2 practitioners
Practice locations: Georgetown, TX; Round Rock, TX

National Provider Directory

National Provider Directory

Locations

16238 Ranch Road 620 N
Ste E393
Austin, TX 78717

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1548095409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16238 RANCH ROAD 620 N STE E393",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175212",
            "telephone_number": "702-960-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "702-960-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Round Rock Ave",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814004",
            "country_code": "US",
            "telephone_number": "702-960-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATX INFECTIOUS DISEASE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KESWANI",
        "authorized_official_first_name": "SHOBHIT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "281-885-9891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427519073",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770043499",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.