Individual provider Active NPI

Arathi Apurva Shah, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1669648861
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P0494 Issued in TX
Practice address
5625 Eiger Rd Ste 225
Austin, TX 78735-8983
Phone
(512) 447-5588
Fax
(512) 447-6990
NPI assigned
May 7, 2008
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P0494 TX Primary

Addresses

Primary practice location

5625 Eiger Rd Ste 225
Austin, TX 78735-8983

Mailing address

5625 Eiger Rd Ste 225
Austin, TX 78735-8983
Phone (512) 447-5588

Other identifiers 2

IdentifierTypeStateIssuer
284751907MedicaidTX
284751908MedicaidTX

Other names 1

  • Dr. Arathi Kannankutty Nair Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140905000311 TX Practitioner - Pediatric Medicine 0941428841 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Pediatrics CurrentSince Aug 1, 2014 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Sep 18, 2023 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics PastSince Jul 23, 2023 Accepting new patients

Locations

2810 Dacy Ln
Kyle, TX 78640
Phone (512) 268-8900

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: arathi.shah@commsa.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1669648861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358983",
            "telephone_number": "512-447-5588",
            "fax_number": "512-447-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358983",
            "telephone_number": "512-447-5588",
            "fax_number": "512-447-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ARATHI",
        "middle_name": "APURVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P0494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284751907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284751908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARATHI",
            "last_name": "NAIR",
            "middle_name": "KANNANKUTTY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.