Individual provider Active NPI

Shamini Ganeshan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Panama City, FL
National Provider Identifier
1679991152
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
T0307 Issued in TX
Practice address
801 E 6TH St Ste 307
Panama City, FL 32401-3663
Phone
(850) 804-3823
Fax
(850) 608-6423
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X T0307 TX Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME172396 FL

Addresses

Primary practice location

801 E 6TH St Ste 307
Panama City, FL 32401-3663

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other practice location 1

1000 S Coulter St Ste 200
Amarillo, TX 79106-1841
Phone (806) 212-6604

Other identifiers 1

IdentifierTypeStateIssuer
1X0794OtherTXMEDICARE PTAN

Other names 1

  • Shamini Parameswaran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210708001767 TX Practitioner - Thoracic Surgery 0345522694 Reassigns benefits to 2 organizations
I20250303002846 FL Practitioner - Thoracic Surgery 0345522694

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Dec 1, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Bsa Physicians Group Inc CurrentSince Dec 1, 2021 Accepting new patients
Yale University Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018

801 E 6th St
Ste 307
Panama City, FL 32401
Phone (850) 804-3823

1000 S Coulter St
Ste 200
Amarillo, TX 79106
Phone (806) 212-4535

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

6611 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 212-4535

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

4102 24th St
Ste 304
Lubbock, TX 79410
Phone (806) 743-7874

Interoperability endpoints

  • Direct secure messaging: shamini.ganeshan.1@9582.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1679991152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST STE 307",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013663",
            "telephone_number": "850-804-3823",
            "fax_number": "850-608-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Coulter St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061841",
            "country_code": "US",
            "telephone_number": "806-212-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANESHAN",
        "first_name": "SHAMINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "T0307",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME172396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1X0794",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMINI",
            "last_name": "PARAMESWARAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.