Shani Italiya

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R1547 Issued in TX

Practice address

600 Elizabeth St
Corpus Christi, TX 78404-2235

Phone

(361) 902-4100

NPI assigned

Apr 8, 2015

Last updated

Oct 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Emergency Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Gulf Coast Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1972286920
  Medicare reassignment Care Compare group NPD
• Conner Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1013415934
  Medicare reassignment NPD
• Nueces Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1215314364
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Spohn Health System Corporation

  dba CHRISTUS Spohn Hospital Corpus Christi

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1558757443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-902-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITALIYA",
        "first_name": "SHANI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restydale Rodriguez Isip, FNP
• Shah Faizul Islam, M.D.
• Island Physicians LLC
• Alina Istomina, MD
• Prachi Jain Italiya, DO
• Itc Medical Transport Company, Inc.
• Jeffery Blaine Itkin, M.D.
• Cassandra F Iton, MD
• Varshni R Iyer, MD
• J & K, Inc. (Home Instead Senior Care)

• Emergency Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.