Active NPI
Gayatri K Shanker, M.D.
- Pediatrics Physician
- Saginaw, MI
National Provider Identifier
1558466920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301073349
- Practice address
- 4684 Wenmar Dr
Saginaw, MI 48604-2817 - Phone
- (989) 793-1095
- Fax
- (989) 793-7649
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4301073349 | MI | Primary |
Addresses
Primary practice location
4684 Wenmar Dr
Saginaw, MI 48604-2817
Mailing address
4684 Wenmar Dr
Saginaw, MI 48604-2817
Phone (989) 793-1095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4411828 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gayatrishanker@cpppc.allscriptsdirect.net |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Pediatric Partners PC | Pediatrics | Current | Accepting new patients |
Locations
4684 Wenmar Dr
Saginaw, MI 48604
Phone (989) 793-1095
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
- Saginaw, MI
- NPI 1295359032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1558466920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4684 WENMAR DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042817",
"telephone_number": "989-793-1095",
"fax_number": "989-793-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4684 WENMAR DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042817",
"telephone_number": "989-793-1095",
"fax_number": "989-793-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKER",
"first_name": "GAYATRI",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301073349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4411828",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gayatrishanker@cpppc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "4684 Wenmar Dr",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486042817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.