Shankar Iyer

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME174313 Issued in FL

Practice address

1602 Avenue Q
Lubbock, TX 79401-4732

Phone

(972) 591-0085

NPI assigned

May 2, 2019

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 AL, FL, TX, CA4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians

Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians

ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Prime Healthcare Services-Gadsden Physician Management LLCGroup PAC ID 7113231945, 79 clinicians

Enterprise Urgent CareGroup PAC ID 1456647197, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011
• Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
• Jackson Hospital Hospital, Marianna, FL, CCN 100142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

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.

• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515

  AL

  Medicare reassignment Care Compare group NPD
• Peterson Medical Associates

  • Obstetrics & Gynecology Physician
  • Kerrville, TX
  • NPI 1770800575
  Medicare reassignment Care Compare group NPD
• Enterprise Urgent Care

  dba Ivy Creek Family Care of Enterprise

  • Urgent Care Clinic/Center
  • Enterprise, AL
  • NPI 1285180729
  Medicare reassignment Care Compare group NPD
• ER Physician Group at Jackson Hospital

  • General Practice Physician
  • Marianna, FL
  • NPI 1407801194
  Medicare reassignment Care Compare group NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Tallassee

  • Rural Health Clinic/Center
  • Tallassee, AL
  • NPI 1558868323
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Services-Gadsden Physician Management LLC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1356731467
  Medicare reassignment Care Compare group NPD
• Wetumpka Urgent Care LLC

  • Urgent Care Clinic/Center
  • Wetumpka, AL
  • NPI 1194057554
  Medicare reassignment Care Compare group NPD
• Coaxion PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1629805221

  CA

  Medicare reassignment NPD
• Chilton Family Care, LLC

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1366857674
  Medicare reassignment NPD
• Ivy Creek Family Care of Lake Martin

  dba Ivy Creek Urgent Care

  • Urgent Care Clinic/Center
  • Dadeville, AL
  • NPI 1609572890
  Medicare reassignment NPD
• Physical Express

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1043362734
  Medicare reassignment NPD
• Ivy Creek of Elmore, LLC

  dba Ivy Creek Family Care of Wetumpka

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1508480633
  NPD

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

• TH Healthcare, LTD

  dba Nacogdoches Medical Center

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076
  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725
  Care Compare affiliation
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1568027860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014732",
            "telephone_number": "972-591-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "SHANKAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME174313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Infusion Services, LLC
• Ivy Specialty Compounding, LLC
• Brendalyn Iweh, MD
• Kenneth Iwuji, M.D.
• Mary Iyer, L.M.T. M.M.P.
• J F Heritage LLC (Crown Point Health Suites)
• J.G. Group L.L.C. (M&M Wellness Chiropractic)
• J.Michael Kerley, M.D., PLLC (Phoenix Oncology of Lubbock)
• J&M Community Services LLC
• Miled A Jabor, M.D.

• Diagnostic Radiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.