Organization Active NPI

Shirsat MD Professional LLC

  • Nephrology Physician
  • Bossier City, LA
National Provider Identifier
1619806429
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SHIRSAT MD PROFESSIONAL LLC
Practice address
603 Corinth Cir
Bossier City, LA 71111-6441
Phone
(816) 872-6459
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Pallavi Shirsat, MDNPI 1679885362
Title
Nephrologist
Phone
(816) 872-6459

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

603 Corinth Cir
Bossier City, LA 71111-6441

Mailing address

603 Corinth Cir
Bossier City, LA 71111-6441
Phone (816) 872-6459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1619806429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CORINTH CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116441",
            "telephone_number": "816-872-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CORINTH CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116441",
            "telephone_number": "816-872-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRSAT MD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SHIRSAT",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "816-872-6459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.